Individual provider Active NPI

Steven Glen Madix, PH.D., CCC-A-SLP

  • Assistive Technology Practitioner Audiologist
  • Ruston, LA
National Provider Identifier
1619092137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
5076 Issued in LA
Practice address
120 Robinson Hall
Ruston, LA 71272-0001
Phone
(318) 257-4764
Fax
(318) 257-4492
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 5076 LA Primary

Addresses

Primary practice location

120 Robinson Hall
Ruston, LA 71272-0001

Mailing address

120 Robinson Hall
Ruston, LA 71272-0001
Phone (318) 257-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002025 LA Practitioner - Qualified Audiologist 5799114260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Audiology and Hearing AIDS, LLCGroup PAC ID 7315373537, 3 clinicians

Practice addresses (Care Compare)

1503 Goodwin Rd
Suite 205
Ruston, LA 71270-2938
Phone (318) 251-1572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5076LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology and Hearing AIDS, LLC CurrentSince Oct 21, 2022 Accepting new patients
T.L.Roberts Enterprises PastSince Oct 21, 2022 Accepting new patients
Louisiana Tech University Audiologist Past Accepting new patients

Locations

1503 Goodwin Rd
Ste 205
Ruston, LA 71270
Phone (318) 251-1572

2271 Arkansas Rd
West Monroe, LA 71291
Phone (318) 582-5317

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619092137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROBINSON HALL",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712720001",
            "telephone_number": "318-257-4764",
            "fax_number": "318-257-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROBINSON HALL",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712720001",
            "telephone_number": "318-257-4764",
            "fax_number": "318-257-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIX",
        "first_name": "STEVEN",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-A-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "LA",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.