Individual provider Active NPI

Benjamin Maddox

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1508276213
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54405 Issued in TN
Practice address
2000 Church Street Box 102-Ip Hospitalist
Nashville, TN 37236-3403
Phone
(615) 284-4672
Fax
(615) 284-5752
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54405 TN Primary

Addresses

Primary practice location

2000 Church Street Box 102-Ip Hospitalist
Nashville, TN 37236-3403

Mailing address

2000 Church St
Nashville, TN 37236-0001
Phone (615) 284-2522

Other practice location 1

910 Madison Ave
Memphis, TN 38103-3403
Phone (901) 448-5814

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170912002796 TN Practitioner - Internal Medicine 7911270004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaman Physician Services, PCGroup PAC ID 6406218130, 55 clinicians

Practice addresses (Care Compare)

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-2111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaman Physician Services, PC CurrentSince Aug 17, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

2000 Church St
#102
Nashville, TN 37236
Phone (615) 284-4672

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 1

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508276213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHURCH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372360001",
            "telephone_number": "615-284-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHURCH STREET BOX 102-IP HOSPITALIST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372363403",
            "telephone_number": "615-284-4672",
            "fax_number": "615-284-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033403",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "54405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.