Individual provider Active NPI

Joshua Maddox, DO

  • Orthopaedic Surgery Physician
  • Enterprise, AL
National Provider Identifier
1083155113
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2145 Issued in AL
Practice address
404 N Main St
Enterprise, AL 36330-2563
Phone
(334) 308-9797
NPI assigned
Mar 8, 2017
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2145 AL Primary

Addresses

Primary practice location

404 N Main St
Enterprise, AL 36330-2563

Mailing address

404 N Main St
Enterprise, AL 36330-2563
Phone (334) 618-7248

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
I20220817002387 AL Practitioner - Orthopedic Surgery 1658641709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Alabama College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S.B.J.S. PCGroup PAC ID 8527043421, 39 clinicians

Practice addresses (Care Compare)

404 N Main St
Enterprise, AL 36330-2563
Phone (334) 308-9797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion96
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2145ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBJS PC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
S.B.J.S. PC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
S.B.J.S. PC Orthopaedic Surgery Past Accepting new patients

Locations

512 E Three Notch St
Andalusia, AL 36420
Phone (334) 222-3700

1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663

404 N Main St
Enterprise, AL 36330
Phone (334) 308-9797

Interoperability endpoints

  • Direct secure messaging: joshua.maddox.1@15455.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1083155113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-618-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-308-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "JOSHUA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.