Active NPI
George H Madison Jr.
- Contractor
- Evansville, IN
National Provider Identifier
1114721974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1033 E Walnut St
Evansville, IN 47714-1039 - Phone
- (812) 962-0240
- Fax
- (812) 962-0505
- NPI assigned
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | |||
| Contractor | 171W00000X | Primary | ||
| Home Modifications Contractor | 171WH0202X |
Addresses
Primary practice location
1033 E Walnut St
Evansville, IN 47714-1039
Mailing address
1033 E Walnut St
Evansville, IN 47714-1039
Phone (812) 962-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Healthcare Dynamic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1811994486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1114721974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141039",
"telephone_number": "812-962-0240",
"fax_number": "812-962-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141039",
"telephone_number": "812-962-0240",
"fax_number": "812-962-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "GEORGE",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.