Individual provider Active NPI

Morgan Maddox, FNP-C

  • Family Nurse Practitioner
  • Dulles, VA
National Provider Identifier
1275297780
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182448 Issued in VA
Practice address
24430 Stone Springs Blvd Ste 425
Dulles, VA 20166-2271
Phone
(703) 722-5860
Fax
(703) 722-5861
NPI assigned
Oct 30, 2021
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182448 VA Primary

Addresses

Primary practice location

24430 Stone Springs Blvd Ste 425
Dulles, VA 20166-2271

Mailing address

2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

120B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmaddox1113346@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20211202001904 VA Practitioner - Nurse Practitioner 4880084029 Reassigns benefits to 2 organizations
I20230119001837 DC Practitioner - Nurse Practitioner 4880084029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 24, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 14, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 24, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 14, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

24430 Stone Springs Blvd
Ste 425
Dulles, VA 20166
Phone (703) 722-5860

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19450 Deerfield Ave
Ste 100
Leesburg, VA 20176
Phone (571) 350-3668

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8644 Sudley Rd
#220
Manassas, VA 20110

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

212 Linden Dr
Ste 152
Winchester, VA 22601
Phone (540) 667-0744

Interoperability endpoints

  • Direct secure messaging: mmaddox1113346@soc.inova.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1275297780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD STE 425",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662271",
            "telephone_number": "703-722-5860",
            "fax_number": "703-722-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120B N Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201323180",
            "country_code": "US",
            "telephone_number": "703-723-8664",
            "fax_number": "703-226-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MORGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmaddox1113346@soc.inova.org",
            "affiliation": "N",
            "address_1": "24430 Stone Springs Blvd Ste 425",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

Verify at the official NPI Registry.