Active NPI
Madison Saren Compton, OTR/L
- Occupational Therapist
- Lawrenceville, GA
National Provider Identifier
1679246300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008117
- Practice address
- 1860 Atkinson Rd Ste 101
Lawrenceville, GA 30043-5066 - Phone
- (706) 948-2773
- NPI assigned
- Jul 28, 2021
- Last updated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008117 | GA | Primary |
Addresses
Primary practice location
1860 Atkinson Rd Ste 101
Lawrenceville, GA 30043-5066
Mailing address
645 Kensington Farms Dr
Milton, GA 30004-3768
Phone (678) 977-7440
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 977-7440
Other practice location 2
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone (678) 977-7440
Other names 1
- Madison Marilyn Saren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221013003377 | GA | Practitioner - Occupational Therapist in Private Practice | 2567838642 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1679246300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 KENSINGTON FARMS DR",
"city": "MILTON",
"state": "GA",
"postal_code": "300043768",
"telephone_number": "678-977-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 ATKINSON RD STE 101",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435066",
"telephone_number": "706-948-2773"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467694",
"country_code": "US",
"telephone_number": "678-977-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3215 McClure Bridge Rd",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300963223",
"country_code": "US",
"telephone_number": "678-977-7440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMPTON",
"first_name": "MADISON",
"middle_name": "SAREN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "SAREN",
"middle_name": "MARILYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
- Community Care Counseling, LLC (Community Care Counseling)
- Community Family Practice and Urgent Care P C
- Community Living Services
- Complete Physical Therapy & Diagnostic Center, LLC
- Comprehensive Primary Care, LLC
- Concentra Health Services, Inc.
- Concentra Health Services, Inc.
- Concentra Primary Care PA (Concentra Primary Care)
- Concise Medical Services, LLC.
- Lisa Marie Condon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.