Individual provider Active NPI

Madison Leigh Akridge, LCSW

  • Clinical Social Worker
  • Statesboro, GA
National Provider Identifier
1396883757
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007244 Issued in GA
Practice address
325 Meadowlark Cir
Statesboro, GA 30461-6973
Phone
(662) 403-7573
NPI assigned
Feb 1, 2007
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TLHT433 FL
Clinical Social Worker 1041C0700X CSW007244 GA Primary
Clinical Social Worker 1041C0700X LSW0000006449 TN
Clinical Social Worker 1041C0700X C9165 MS

Addresses

Primary practice location

325 Meadowlark Cir
Statesboro, GA 30461-6973

Mailing address

325 Meadowlark Cir
Statesboro, GA 30461-6973
Phone (901) 361-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180706000725 MS Practitioner - Clinical Social Worker 5193071033 Reassigns benefits to 1 organization
I20250701000396 GA Practitioner - Clinical Social Worker 5193071033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Statesboro, GA 30461
Phone (662) 403-7573

325 Meadowlark Cir
Statesboro, GA 30461-6973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TLHT433FLMDClinical Social Worker
C9165MSMDClinical Social Worker
LSW0000006449TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intune, LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

7075 Golden Oaks Loop W
Ste 9
Southaven, MS 38671
Phone (662) 403-7573

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1396883757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MEADOWLARK CIR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616973",
            "telephone_number": "901-361-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEADOWLARK CIR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616973",
            "telephone_number": "662-403-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRIDGE",
        "first_name": "MADISON",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TLHT433",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007244",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006449",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.