Individual provider Active NPI

Madelyn R Shrum

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1255131058
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
301 Main St SW
Gainesville, GA 30501-3777
Phone
(480) 318-1949
NPI assigned
Mar 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 AZ Primary

Addresses

Primary practice location

301 Main St SW
Gainesville, GA 30501-3777

Mailing address

5742 S Crossbow PL
Chandler, AZ 85249-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260304001613 AZ Practitioner - Physician Assistant 5991287476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

5681 W Beverly LN
Suite 100
Glendale, AZ 85306-9800
Phone (480) 443-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11371AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis and Rheumatology Associates CurrentSince Jan 19, 2026 Accepting new patients
Arizona Arthritis & Rheumatology Associates P C CurrentSince Jan 19, 2026 Accepting new patients

Locations

5681 W Beverly Ln
Ste 100
Glendale, AZ 85306
Phone (480) 443-8697

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Interoperability endpoints

  • Direct secure messaging: madelyn.shrum.p1@direct.aara.nextgenshare.com

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1255131058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 S CROSSBOW PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST SW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013777",
            "telephone_number": "480-318-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "MADELYN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.