Organization Active NPI

C Deaton Maddox MD PA

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1629182761
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
C DEATON MADDOX MD PA
Practice address
417 Biltmore Ave
4-B Doctor'S Park
Asheville, NC 28801-4543
Phone
(828) 253-2865
Fax
(828) 253-9694
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. C Deaton Maddox, MD
Title
President
Phone
(828) 253-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

417 Biltmore Ave
4-B Doctor'S Park
Asheville, NC 28801-4543

Mailing address

417 Biltmore Ave
4-B Doctor'S Park
Asheville, NC 28801-4543
Phone (828) 253-2865

Other identifiers 2

IdentifierTypeStateIssuer
53700OtherNCBCBS
8953700MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1629182761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "4-B DOCTOR'S PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-253-2865",
            "fax_number": "828-253-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "4-B DOCTOR'S PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-253-2865",
            "fax_number": "828-253-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C DEATON MADDOX MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "C DEATON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-253-2865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53700",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.