Individual provider Active NPI

John F Maddox, MD

  • Family Medicine Physician
  • Andalusia, AL
National Provider Identifier
1477575868
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10254 Issued in AL
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

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
541387601MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922001028 AL Practitioner - Family PracticePractitioner - Geriatric Medicine 9436229069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10254ALMDFamily Medicine Physician

Practice roles (2 of 8)

OrganizationSpecialtyStatusNew patients
Three Notch Medical Center, PC Family Medicine CurrentSince Oct 1, 1984 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.