Individual provider Active NPI

Hugh Gilbert Maddox Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Anniston, AL
National Provider Identifier
1073590170
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
19518 Issued in AL
Practice address
1309 Quintard Ave
Anniston, AL 36201-4619
Phone
(256) 237-7002
NPI assigned
Dec 29, 2005
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 19518 AL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 18129 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X ME69047 FL

Addresses

Primary practice location

1309 Quintard Ave
Anniston, AL 36201-4619

Mailing address

791 Oak Mountain Rd
Carrollton, GA 30116-6034
Phone (770) 834-0141

Other identifiers 1

IdentifierTypeStateIssuer
510-95640OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000701 AL Practitioner - Pain ManagementPractitioner - Anesthesiology 6507806536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Georgia School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1309 Quintard St
Anniston, AL 36201-4619
Phone (256) 237-7002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19518ALMDPain Medicine (Anesthesiology) Physician
ME69047FLMDPain Medicine (Anesthesiology) Physician
18129GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maddox Pain Management PC Pain Medicine CurrentSince May 11, 2000 Accepting new patients
Titan Interventional Pain Management, Inc PastSince May 11, 2000 Accepting new patients

Locations

1309 Quintard Ave
Anniston, AL 36201
Phone (256) 237-7002

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1073590170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 OAK MOUNTAIN RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301166034",
            "telephone_number": "770-834-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014619",
            "telephone_number": "256-237-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "HUGH",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "19518",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "18129",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME69047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-95640",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.