Individual provider Active NPI

Madelynn Paige Henson

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1669285599
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-181543 Issued in AL
Practice address
102 Physicians Dr Ste C
Muscle Shoals, AL 35661-2149
Phone
(256) 762-7011
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-181543 AL Primary

Addresses

Primary practice location

102 Physicians Dr Ste C
Muscle Shoals, AL 35661-2149

Mailing address

21209 Barley Terrace Dr
Elkmont, AL 35620-7172
Phone (256) 762-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 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

Enrollment IDStateProvider typePAC IDDetails
I20250318003741 TN Practitioner - Nurse Practitioner 0547782666 Reassigns benefits to 1 organization
I20250319000970 AL Practitioner - Nurse Practitioner 0547782666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Logan College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Wound Care Anywhere, LLCGroup PAC ID 6608302831, 5 clinicians

Practice addresses (Care Compare)

1000 Bradford Way
Suite 500
Kingston, TN 37763-3126
Phone (865) 207-6067

102 Physicians Dr
Suite C
Muscle Shoals, AL 35661-2149
Phone (256) 984-7919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mancel Wakham LLC CurrentSince Mar 1, 2025 Accepting new patients
Wound Care Anywhere, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

102 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 984-7919

1000 Bradford Way
Ste 500
Kingston, TN 37763
Phone (865) 207-6067

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1669285599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21209 BARLEY TERRACE DR",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356207172",
            "telephone_number": "256-762-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PHYSICIANS DR STE C",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612149",
            "telephone_number": "256-762-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "MADELYNN",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-181543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.