Individual provider Active NPI

Madison R Malmquist, PA-C

  • Physician Assistant
  • Columbus, GA
National Provider Identifier
1215508114
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14751 Issued in TX
Practice address
2122 Manchester Expy
Columbus, GA 31904-6878
Phone
(706) 596-4000
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14751 TX Primary

Addresses

Primary practice location

2122 Manchester Expy
Columbus, GA 31904-6878

Mailing address

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-4600

Other practice location 2

9240 Guilbeau Rd Ste 128
San Antonio, TX 78250-3091
Phone (210) 681-4685

Other names 1

  • Madison Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220905000252 TX Practitioner - Physician Assistant 4880078112 Reassigns benefits to 1 organization
I20231130003356 GA Practitioner - Physician Assistant 4880078112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Diagnostics, L.L.C.Group PAC ID 1951399724, 24 clinicians

Practice addresses (Care Compare)

3934 Woodruff Rd
Columbus, GA 31904-6818
Phone (706) 322-0304

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Oct 10, 2025 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Aug 11, 2025 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Oct 10, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Physician Assistant CurrentSince Oct 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1215508114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046878",
            "telephone_number": "706-596-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046878",
            "telephone_number": "706-596-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9240 Guilbeau Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503091",
            "country_code": "US",
            "telephone_number": "210-681-4685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALMQUIST",
        "first_name": "MADISON",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "GARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.