Individual provider Active NPI

Paul Timothy Maddux, M.D.

  • Interventional Cardiology Physician
  • Augusta, GA
National Provider Identifier
1063851129
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
87892 Issued in GA
Practice address
1348 Walton Way Ste 5100
Augusta, GA 30901-5108
Phone
(706) 724-8611
Fax
(706) 724-6202
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36015 SC
Interventional Cardiology Physician 207RI0011X 87892 GA Primary

Addresses

Primary practice location

1348 Walton Way Ste 5100
Augusta, GA 30901-5108

Mailing address

PO Box 925
Augusta, GA 30903-0925
Phone (706) 724-8611

Other practice location 1

701 Grove Rd
Greenville, SC 29605-5611
Phone (864) 455-5648

Other identifiers 1

IdentifierTypeStateIssuer
360157MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160722000565 SC Practitioner - Interventional CardiologyPractitioner - Internal Medicine 4789818386 Reassigns benefits to 2 organizations
I20210819000893 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4789818386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

107 Walnut LN
North Augusta, SC 29860-8629
Phone (703) 724-8611

95 Collier Rd NW
Suite 2055
Atlanta, GA 30309-1721
Phone (404) 605-5699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36015SCMDPharmacist
87892GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Cardiology Associates LLC Interventional Cardiology CurrentSince Sep 1, 2021 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Interventional Cardiology CurrentSince Sep 1, 2023 Accepting new patients
University Cardiology Associates LLC Interventional Cardiology CurrentSince Sep 1, 2021 Accepting new patients

Locations

95 Collier Rd NW
Ste 2055
Atlanta, GA 30309
Phone (404) 355-9515

1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

107 Walnut Ln
North Augusta, SC 29860
Phone (703) 724-8611

107 Walnut Ln
#101
North Augusta, SC 29860
Phone (803) 202-7159

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1063851129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030925",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015108",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296055611",
            "country_code": "US",
            "telephone_number": "864-455-5648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "PAUL",
        "middle_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "36015",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "87892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.