Active NPI
Madison Poe
- Physician Assistant
- Brookhaven, GA
National Provider Identifier
1720990369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2220 N Druid Hills Rd NE
Brookhaven, GA 30329-3117 - Phone
- (404) 785-5437
- NPI assigned
- Sep 18, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA | Primary |
Addresses
Primary practice location
2220 N Druid Hills Rd NE
Brookhaven, GA 30329-3117
Mailing address
23 Sassafras TRL NE
Cartersville, GA 30121-6025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1720990369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SASSAFRAS TRL NE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301216025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 N DRUID HILLS RD NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293117",
"telephone_number": "404-785-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.