Individual provider Active NPI

Madison G Gilley

  • Hearing Instrument Specialist
  • The Villages, FL
National Provider Identifier
1235758863
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5510 Issued in FL
Practice address
1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818
Phone
(352) 753-8448
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5510 FL Primary

Addresses

Primary practice location

1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818

Mailing address

1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818
Phone (352) 753-8448

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL 352-753-8448
CONNECT URL 352-753-8448

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

LicenseStateTypeSpecialty
AS5510FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake ENT & FPS, PA Single Specialty PastSince Apr 19, 2020 Accepting new patients
Painfree Physical Therapy Inc Single Specialty PastSince Apr 19, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1235758863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441 STE 1402",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596818",
            "telephone_number": "352-753-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441 STE 1402",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596818",
            "telephone_number": "352-753-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "MADISON",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "352-753-8448",
            "affiliation": "N",
            "address_1": "1501 N US Highway 441 Ste 1402",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321596818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "352-753-8448",
            "affiliation": "N",
            "address_1": "1501 N US Highway 441 Ste 1402",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321596818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.