Tracy Madden

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

57637 Issued in SC

Practice address

2470 Mall Dr
North Charleston, SC 29406-6514

Phone

(803) 205-2779

NPI assigned

Oct 24, 2026

Last updated

Oct 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1508763202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAINHOY LANDING RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927801",
            "telephone_number": "843-200-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 MALL DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066514",
            "telephone_number": "803-205-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "57637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaston G Machado, MD
• Debra Anne Mack, PA-C
• Shywanna Mack, RN
• Sarah Wynne Mackay, DPT
• Melissa Margaret Mackey
• Ann Ward Maggard, OTLR
• Ashley Chaniece Magwood
• Renuka Mahatara, DO
• Margaret Mahoney, OTD R/L
• Julie T Malka, AUDIOLOGIST

• Licensed Practical Nurse in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.