Individual provider Active NPI

Victoria G Maddox, NP

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1417501479
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22998 Issued in SC
Practice address
751 Cool Springs Blvd Ste 204
Franklin, TN 37067-2725
Phone
(864) 885-8901
NPI assigned
Jul 29, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22998 SC Primary
Family Nurse Practitioner 363LF0000X GAA-NP000806 GA

Addresses

Primary practice location

751 Cool Springs Blvd Ste 204
Franklin, TN 37067-2725

Mailing address

150 Prater Dr
Seneca, SC 29678-5834
Phone (864) 885-8901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200220002829 SC Practitioner - Nurse Practitioner 0840627485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP000806GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keowee Primary Care & Internal Medicine PC CurrentSince Nov 30, 2019 Accepting new patients
Medi Urgent Care Center Inc PastSince Aug 1, 2019 Accepting new patients

Locations

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1417501479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PRATER DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296785834",
            "telephone_number": "864-885-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 COOL SPRINGS BLVD STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672725",
            "telephone_number": "864-885-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "VICTORIA",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22998",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.