Individual provider Active NPI

Grady Eaton Maddox, M.D.

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1497980536
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD30657 Issued in AL
Practice address
48 Medical Park Dr E
Suite 255
Birmingham, AL 35235-3400
Phone
(205) 838-3090
Fax
(205) 838-3043
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD30657 AL Primary
Orthopaedic Hand Surgery Physician 207XS0106X MD30657 AL

Addresses

Primary practice location

48 Medical Park Dr E
Suite 255
Birmingham, AL 35235-3400

Mailing address

833 Saint Vincents Dr
BLDG. 3, Suite 403
Birmingham, AL 35205-1606
Phone (205) 939-0447

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
I20150723009308 AL Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 3577700814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosports Associates LLCGroup PAC ID 3173707171, 36 clinicians

Practice addresses (Care Compare)

48 Medical Park E Dr
Suite 255
Birmingham, AL 35235-3464
Phone (205) 838-3090

7191 Cahaba Valley Rd
Hoover, AL 35242-6443
Phone (205) 939-0447

Hospital & facility affiliations

  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as group
Improvement activities
40
Cost
69.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)61
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30657ALMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports Associates LLC Orthopaedic Surgery CurrentSince Aug 17, 2015 Accepting new patients
Orthosports Associates LLC Orthopaedic Surgery CurrentSince Aug 17, 2015 Accepting new patients

Locations

48 Medical Park Dr E
Ste 255
Birmingham, AL 35235

833 Saint Vincents Dr
Ste 403
Birmingham, AL 35205
Phone (205) 939-0047

7191 Cahaba Valley Rd
Ste 200A
Hoover, AL 35242
Phone (205) 324-8511

5850 Valley Rd
Ste 110
Trussville, AL 35235

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1497980536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "BLDG. 3, SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-939-0447",
            "fax_number": "205-939-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 255",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-3090",
            "fax_number": "205-838-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "GRADY",
        "middle_name": "EATON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD30657",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AL",
            "license": "MD30657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.