Nicholas Maddox, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021560 Issued in NC

Practice address

540 Waugh St
Jefferson, NC 28640-9034

Phone

(336) 246-5581

NPI assigned

Nov 7, 2022

Last updated

Apr 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  VA

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC, VA

  Medicare reassignment Care Compare group NPD
• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625
  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Mid-Atlantic H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1275427429

  NC

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  NC

  Medicare reassignment NPD
• William M Handy MD PC

  • Family Medicine Physician
  • Abingdon, VA
  • NPI 1538255542
  Medicare reassignment NPD

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

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1609584960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-623-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WAUGH ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409034",
            "telephone_number": "336-246-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "NICHOLAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021560",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024185720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne B Leonard, MD
• Ashley Caroline Lindsey
• Nash W Love III, LPA
• Lindsay Yount Lyall, PA
• Kaylin Louise Macks, DPT
• Margate Health and Rehab Center LLC
• Margate Health and Rehab Center LLC (The Margate Health and Rehab Center of Jefferson)
• Margate Health and Rehabilitation, LLC
• Jonna M. McGarity, LCSW, LCAS
• Seth McGrady, DPT

• Family Nurse Practitioner in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.