Rebecca Jean Maddox, LPN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Practice address

405 Alabama Avenue
Bremen, GA 30110

Phone

(770) 537-2367

Fax

(770) 537-1203

NPI assigned

Nov 28, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609942812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ALABAMA AVENUE",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-2367",
            "fax_number": "770-537-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ALABAMA AVENUE",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-2367",
            "fax_number": "770-537-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Maradiaga, PHARMD
• Kenneth Martin III, OTR/L
• Kathy Kennedy Matthews, ATC
• Daniel E McBrayer, M.D.
• Stephanie Ann Melson, NP

• All providers in Bremen, GA
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.