Individual provider Active NPI

Georgetta L Maddox, BSN/RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1447191457
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
264448-30 Issued in WI
Practice address
814 N 26TH St
Milwaukee, WI 53233-1508
Phone
(414) 207-4560
Fax
(414) 448-6946
NPI assigned
Apr 3, 2026
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1265 WI
Registered Nurse 163W00000X 264448-30 WI Primary
Administrator Registered Nurse 163WA2000X 1265 WI
Continuing Education/Staff Development Registered Nurse 163WC1600X 264448-30 WI
Home Health Registered Nurse 163WH0200X 264448-30 WI
Pain Management Registered Nurse 163WP0000X 264448-30 WI
Psychiatric/Mental Health Registered Nurse 163WP0808X 264448-30 WI
Ambulatory Care Registered Nurse 163WP2201X 264448-30 WI
Rehabilitation Registered Nurse 163WR0400X 264448-30 WI
Wound Care Registered Nurse 163WW0000X 264448-30 WI
Occupational Health Registered Nurse 163WX0106X 264448-30 WI

Addresses

Primary practice location

814 N 26TH St
Milwaukee, WI 53233-1508

Mailing address

814 N 26TH St
Milwaukee, WI 53233-1508
Phone (414) 207-4560

Other identifiers 1

IdentifierTypeStateIssuer
1265OtherWIHOME HEALTH AGENCY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1265WIMDProfessional Counselor
264448-30WIMDRehabilitation Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family One Care Services of Wisconsin, LLC Home Health CurrentSince Oct 5, 2025 Accepting new patients

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": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1447191457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331508",
            "telephone_number": "414-207-4560",
            "fax_number": "414-448-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331508",
            "telephone_number": "414-207-4560",
            "fax_number": "414-448-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "GEORGETTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "BSN/RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1265",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "264448-30",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WI",
            "license": "1265",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WI",
            "license": "264448-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "1265",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.