Individual provider Active NPI

Jami L Maddox, C.N.M.

  • Advanced Practice Midwife
  • Martin, TN
National Provider Identifier
1306826524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN11071 Issued in TN
Practice address
300 W Peach St
Martin, TN 38237-3949
Phone
(731) 587-2525
Fax
(731) 587-2555
NPI assigned
Jan 23, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN11071 TN Primary

Addresses

Primary practice location

300 W Peach St
Martin, TN 38237-3949

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255

Other practice location 1

1312 Bishop St
Union City, TN 38261-5406
Phone (731) 885-7584

Other identifiers 1

IdentifierTypeStateIssuer
3495296MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001316 TN Practitioner - Certified Nurse Midwife (CNM) 5597700245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 E Reelfoot Ave
Union City, TN 38261-5801
Phone (731) 885-5100

1412 E Reelfoot Ave
Union City, TN 38261-5813
Phone (731) 885-5131

300 W Peach St
Martin, TN 38237-3949
Phone (731) 587-2525

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11071TNMDGeneral Practice Dentistry
APN11071TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2017 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

300 W Peach St
Martin, TN 38237
Phone (731) 587-2525

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

1020 E Reelfoot Ave
Ste 100
Union City, TN 38261
Phone (731) 885-5100

1312 Bishop St
Union City, TN 38261
Phone (731) 885-5100

Interoperability endpoints

  • Direct secure messaging: jmaddox77956@direct.bmhcc.org

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.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306826524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "telephone_number": "901-227-3255",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PEACH ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373949",
            "telephone_number": "731-587-2525",
            "fax_number": "731-587-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615406",
            "country_code": "US",
            "telephone_number": "731-885-7584",
            "fax_number": "731-885-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "JAMI",
        "middle_name": "L",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN11071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3495296",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.