Meredith Alice Maddox, M.S.P., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

74 Hampton Way
Carrollton, GA 30116-8905

Phone

(770) 355-7712

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1053412965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 HAMPTON WAY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168905",
            "telephone_number": "770-355-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 HAMPTON WAY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168905",
            "telephone_number": "770-355-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MEREDITH",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "M.S.P., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Lussier, BSN, RN, IBCLC
• Luxottica of America Inc
• Gaines Griffin Lynott, DNP, CRNA
• Mary Ann Mabry, PHARM. D.
• Jydakis Mackey
• Laria Gemae Mahone, LAPC
• Fredrick Omurwa Makori, MD
• Latasha Nicole Mallard
• Debbie Malloy
• Cassie Manley, EDS, LPC, ACS

• Speech-Language Pathologist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.