James Maddox, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

40789 Issued in TN

Practice address

154 Cude LN
Madison, TN 37115-2202

Phone

(615) 865-6268

Fax

(615) 868-7378

NPI assigned

Nov 3, 2006

Last updated

May 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1407935075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160488",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152202",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "40789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3607702",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonia Annette Lucas
• Jeremy Luedtke
• Avery Lutrzykowski
• Ryan Taylor Lyle
• Laura Mabry-Griffin, OTR/L
• Madison Adult Medicine, Inc.
• Madison Anesthesiology, LLC (Madison Anesthesiology)
• Madison Assisted Living, LTD (Carestone Assisted Living at Rivergate)
• Madison Behavioral Health, LLC (Madison Behavioral Health)
• Madison Behavioral Health, LLC

• Certified Registered Nurse Anesthetist in Madison, TN
• Providers in Madison, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.