Individual provider Active NPI

Madison Paige McCullough

  • Audiologist
  • Fort Payne, AL
National Provider Identifier
1306539002
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1338A Issued in AL
Practice address
423 Medical Center Dr SW
Fort Payne, AL 35968-3421
Phone
(256) 844-8144
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1338A AL Primary

Addresses

Primary practice location

423 Medical Center Dr SW
Fort Payne, AL 35968-3421

Mailing address

765 Coal Street
Sand Rock, AL 35983
Phone (256) 523-5525

Other practice location 1

406 Taylor St Ste B
Scottsboro, AL 35768-2406
Phone (256) 574-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001858 AL Practitioner - Qualified Audiologist 7315308111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Specialty CareGroup PAC ID 5991244378, 20 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsboro ENT, PC CurrentSince Jun 9, 2023 Accepting new patients
Dekalb Specialty Care CurrentSince Nov 1, 2024 Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

423 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 844-8144

406 Taylor St
Ste B
Scottsboro, AL 35768
Phone (256) 574-6100

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1306539002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 COAL STREET",
            "city": "SAND ROCK",
            "state": "AL",
            "postal_code": "35983",
            "telephone_number": "256-523-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683421",
            "telephone_number": "256-844-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Taylor St Ste B",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682406",
            "country_code": "US",
            "telephone_number": "256-574-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.