Active NPI
Kristina Maddox, NP
- Nurse Practitioner
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN176279
- Practice address
- 304 Turner McCall Blvd SW
Rome, GA 30165-5621 - Phone
- (706) 509-5000
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
- Emergency Medicine Physician
- Trion, GA
- NPI 1184302473
-
- Emergency Medicine Physician
- Rome, GA
- NPI 1962944900
-
- Multi-Specialty Clinic/Center
- Rome, GA
- NPI 1679599088
-
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Psychiatric Hospital Unit
- Rome, GA
- NPI 1023057775
-
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
- Ambulance
- Rome, GA
- NPI 1356444814
-
- Community Based Hospice Care Agency
- Rome, GA
- NPI 1699721399
-
- Rehabilitation Hospital Unit
- Rome, GA
- NPI 1801990213
-
- Home Health Agency
- Rome, GA
- NPI 1467535161
-
- Emergency Medicine Physician
- Cedartown, GA
- NPI 1306388343
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Floyd Healthcare Management Inc
Practice addresses (Care Compare)
302 Shorter Ave NW
Rome, GA 30165-4268
Phone (706) 291-3700
Hospital & facility affiliations
- Atrium Health Floyd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211019002468 | GA | Practitioner - Nurse Practitioner | 6103214440 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176279 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Etowah Emergency Physicians, LLC | Current | Accepting new patients | |
| Etowah Emergency Physicians, LLC | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Chattooga River Physicians, LLC | Current | Accepting new patients | |
| Harbin Clinic, LLC | Past | Accepting new patients |
Locations
251 Highway 53 E
Calhoun, GA 30701
Phone (706) 602-8200
2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
11766 Highway 27
Ste A
Summerville, GA 30747
Phone (706) 230-4240
13583 Highway 27
Trion, GA 30753
Phone (706) 238-8360
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kmaddox913861@carolinashealthcaresystem.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN176279 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Mailing address
PO Box 2704
Rome, GA 30164-2704
Phone (706) 291-0291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2021.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1669016747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2704",
"city": "ROME",
"state": "GA",
"postal_code": "301642704",
"telephone_number": "706-291-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 TURNER MCCALL BLVD SW",
"city": "ROME",
"state": "GA",
"postal_code": "301655621",
"telephone_number": "706-509-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "KRISTINA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN176279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.