Active NPI
Brenda Faye Madison
- Nurse's Aide
- Abbeville, GA
National Provider Identifier
1124165600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 156-R-0001
- Practice address
- 23 Hidden Lakes Rd
Abbeville, GA 31001-2837 - Phone
- (229) 467-9362
- Fax
- (229) 467-2185
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 156-R-0001 | GA | Primary |
Addresses
Primary practice location
23 Hidden Lakes Rd
Abbeville, GA 31001-2837
Mailing address
23 Hidden Lakes Rd
Abbeville, GA 31001-2837
Phone (229) 467-9362
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156-R-0001 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MM Adult Care, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Abbeville, GA
- NPI 1932327657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124165600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HIDDEN LAKES RD",
"city": "ABBEVILLE",
"state": "GA",
"postal_code": "310012837",
"telephone_number": "229-467-9362",
"fax_number": "229-467-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HIDDEN LAKES RD",
"city": "ABBEVILLE",
"state": "GA",
"postal_code": "310012837",
"telephone_number": "229-467-9362",
"fax_number": "229-467-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "BRENDA",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "156-R-0001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abbeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.