Active NPI
John F Maddox, MD
- Family Medicine Physician
- Andalusia, AL
National Provider Identifier
1477575868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10254
- Practice address
- 835 S Three Notch St
Andalusia, AL 36420-5321 - Phone
- (334) 222-8421
- Fax
- (334) 222-1248
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10254 | AL | Primary |
Addresses
Primary practice location
835 S Three Notch St
Andalusia, AL 36420-5321
Mailing address
PO Box 398
Andalusia, AL 36420-1207
Phone (334) 222-8421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541387601 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922001028 | AL | Practitioner - Family Practice | 9436229069 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10254 | AL | MD | Family Medicine Physician |
Practice roles (2 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Notch Medical Center, PC | Family Medicine | Current | Accepting new patients |
| Andalusia Manor LLC | Past | Accepting new patients |
Locations
835 S Three Notch St
Andalusia, AL 36420
Phone (205) 222-8421
Networks
- bcbs alabama network 01G0
- bcbs alabama network 01B0
- bcbs alabama network 01A0
- bcbs alabama network 01E0
- bcbs alabama network 01H0
- bcbs alabama network 01C0
Interoperability endpoints
- qxa9803@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Andalusia, AL
- NPI 1942226220
Family Medicine
-
- Skilled Nursing Facility
- Andalusia, AL
- NPI 1407937709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1477575868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201207",
"telephone_number": "334-222-8421",
"fax_number": "334-222-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205321",
"telephone_number": "334-222-8421",
"fax_number": "334-222-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "10254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541387601",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.