NPIMap

Organization Active NPI

Madalyn N. Davidoff, M.D., LLC

  • Cardiovascular Disease Physician
  • Warner Robins, GA
National Provider Identifier
1093987562
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042561 Issued in GA
Legal business name
MADALYN N. DAVIDOFF, M.D., LLC
Practice address
1570 Watson Blvd
Warner Robins, GA 31093-3432
Phone
(478) 929-5997
Fax
(478) 929-9411
NPI assigned
Mar 25, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Madalyn N Davidoff, M.D.NPI 1912909201
Title
Owner
Phone
(478) 929-5997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042561 GA Primary

Addresses

Primary practice location

1570 Watson Blvd
Warner Robins, GA 31093-3432

Mailing address

1570 Watson Blvd
Warner Robins, GA 31093-3432
Phone (478) 929-5997

National Provider Directory

National Provider Directory

Locations

482 Poplar St
Macon, GA 31201
Phone (478) 745-9599

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1093987562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-929-5997",
            "fax_number": "478-929-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-929-5997",
            "fax_number": "478-929-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADALYN N. DAVIDOFF, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "MADALYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-929-5997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "042561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.