Individual provider Active NPI

Daryl Clinton Madden, PA-C

  • Physician Assistant
  • Smyrna, TN
National Provider Identifier
1184698136
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4862 Issued in TN
Practice address
519 Enon Springs Rd E
Smyrna, TN 37167-4446
Phone
(615) 223-6200
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 4723 GA
Physician Assistant 363A00000X 4862 TN Primary

Addresses

Primary practice location

519 Enon Springs Rd E
Smyrna, TN 37167-4446

Mailing address

519 Enon Springs Rd E
Smyrna, TN 37167-4446
Phone (615) 223-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220617000405 TN Practitioner - Physician Assistant 8527006733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.28 of 100Reported as group
Quality
44.01
Improvement activities
40
Cost
91.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4862TNMDSpeech-Language Pathologist
4723GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pain Care PLLC CurrentSince May 18, 2022 Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients

Locations

393 Wallace Rd
Ste 403
Nashville, TN 37211
Phone (615) 223-6200

519 Enon Springs Rd E
Smyrna, TN 37167
Phone (615) 223-6200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1184698136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674446",
            "telephone_number": "615-223-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674446",
            "telephone_number": "615-223-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "DARYL",
        "middle_name": "CLINTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4723",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.