Active NPI
Truett Layton Maddox, MD
- Psychiatry Physician
- Roswell, NM
National Provider Identifier
1356305536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 91246
- Practice address
- 405 W Country Club Rd
Roswell, NM 88201-5209 - Phone
- (575) 624-4777
- Fax
- (575) 624-8711
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 91246 | NM | Primary |
Addresses
Primary practice location
405 W Country Club Rd
Roswell, NM 88201-5209
Mailing address
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 624-4777
Other practice location 1
5419 N Lovington Hwy
Suite 6
Hobbs, NM 88240-9131
Phone (575) 392-6428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM001X06 | Other | NM | BCBS |
| W3115 | Medicaid | NM |
Other names 1
- Truett Layton Maddox
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91246 | NM | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lea Regional Hospital LLC | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Sprocket Medical Management LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Lea Regional Medical Center
- Diagnostic Radiology Physician
- Hobbs, NM
- NPI 1053419788
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
-
- General Practice Physician
- Hobbs, NM
- NPI 1801859319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1356305536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-624-4777",
"fax_number": "575-624-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-624-4777",
"fax_number": "575-624-8711"
}
],
"practiceLocations": [
{
"address_1": "5419 N Lovington Hwy",
"address_2": "Suite 6",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "882409131",
"country_code": "US",
"telephone_number": "575-392-6428",
"fax_number": "575-492-1026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDOX",
"first_name": "TRUETT",
"middle_name": "LAYTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "91246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM001X06",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W3115",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRUETT",
"last_name": "MADDOX",
"middle_name": "LAYTON",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.