Lawrence E Madlock, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10777 Issued in TN

Practice address

910 Madison Ave Ste 922
Memphis, TN 38103-3483

Phone

(901) 448-5630

Fax

(901) 448-7255

NPI assigned

May 5, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Baylor College of Medicine, 1977

Medicare assignment

May accept Medicare assignment

Group practices

Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmadlock@yourcarecommunity.org
• Direct secure messaging: lawrence.madlock.1@20250.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1144236902
  Medicare reassignment Care Compare group NPD
• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1659745354
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1477501138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE STE 922",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033483",
            "telephone_number": "901-448-5630",
            "fax_number": "901-448-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE STE 922",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033483",
            "telephone_number": "901-448-5630",
            "fax_number": "901-448-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADLOCK",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "10777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3876951",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca McLaurin Maddux, LPC-MHSP
• Meghan Marie Madea, CNM, NP
• Madison Pharmacy Inc
• Adrianna P. Madison, LDO
• Cynthia Madison
• Arshia Madni, MD
• Albert L Maduska, MD
• Darla Ann Maedel, PHARM D
• Devine Mafa, OT
• Maja Magazin, DO

• Emergency Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.