Individual provider Active NPI

Madison Newsom Kosier, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1093307845
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14395 Issued in NC
Practice address
1212 Enclave Cir
Nashville, TN 37211-7440
Phone
(865) 850-8452
NPI assigned
Feb 3, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-14395 NC Primary

Addresses

Primary practice location

1212 Enclave Cir
Nashville, TN 37211-7440

Mailing address

1212 Enclave Cir
Nashville, TN 37211-7440
Phone (865) 850-8452

Other practice location 1

2205 Oak Ridge Rd Ste Bb
Oak Ridge, NC 27310-8728
Phone (336) 644-0994

Other names 1

  • Madison Scottie Newsom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827003176 NC Practitioner - Physician Assistant 5294274882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jul 12, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 12, 2024 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

1471 Jag Branch Blvd
Unit 101
Kernersville, NC 27284
Phone (336) 515-7420

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

4901 Auburn Rd
Summerfield, NC 27358
Phone (336) 660-5270

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mkosier1558379@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1093307845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 ENCLAVE CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117440",
            "telephone_number": "865-850-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 ENCLAVE CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117440",
            "telephone_number": "865-850-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Oak Ridge Rd Ste Bb",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "NC",
            "postal_code": "273108728",
            "country_code": "US",
            "telephone_number": "336-644-0994",
            "fax_number": "336-644-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSIER",
        "first_name": "MADISON",
        "middle_name": "NEWSOM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "NEWSOM",
            "middle_name": "SCOTTIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.