Madden Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MADDEN MEDICAL CLINIC LLC

Practice address

1071 E Franklin St
Carthage, MS 39051-3601

Phone

(601) 267-4562

Fax

(601) 267-4589

NPI assigned

Nov 14, 2006

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benita Chamblee

Title

Office Manager

Phone

(601) 267-4562

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• David Lawrence Moody, MD

  • Family Medicine Physician
  • Carthage, MS
  • NPI 1346359197
  Medicare reassignment Care Compare group NPD
• Manuel Lim Ong Jr., M.D.

  • Emergency Medicine Physician
  • Carthage, MS
  • NPI 1932158664
  Medicare reassignment Care Compare group NPD
• Amber K Atkinson, NP

  • Nurse Practitioner
  • Carthage, MS
  • NPI 1417309147
  Medicare reassignment NPD
• Julie S Herrington, FNP-C

  • Family Nurse Practitioner
  • Carthage, MS
  • NPI 1346723863
  Medicare reassignment NPD
• Carla Mitchell Armstrong, M.D.

  • Legal Medicine
  • Tylertown, MS
  • NPI 1346238359
  NPD
• Degail Jamar Hadley, D.O.

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1720216955

  Multi-Specialty

  NPD
• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007
  NPD
• William L Striegel, MD

  • Internal Medicine Physician
  • Ocean Springs, MS
  • NPI 1205947843

  Single Specialty

  NPD
• Janet Kelly

  • Family Nurse Practitioner
  • Carthage, MS
  • NPI 1396252011
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1114099439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390510435",
            "telephone_number": "601-267-4562",
            "fax_number": "601-267-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 E FRANKLIN ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390513601",
            "telephone_number": "601-267-4562",
            "fax_number": "601-267-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDEN MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAMBLEE",
        "authorized_official_first_name": "BENITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-267-4562"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014124",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leake County School District
• Leake Emergency Group, LLC
• Leake Extended Care Facility
• Leake LTC, LLC (Carthage Health & Rehab Center)
• Lifecare EMS LLC (Lifecare EMS)
• Philip Wayne Marler, OD
• Crystal Howell Martin, C-FNP
• Dawn McBounds
• Chiquita McClendon
• Michelle Pearson McDaniel, M.S. CCC-SLP

• Clinic/Center in Carthage, MS
• Providers in Carthage, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.