Madison Paige Kelley, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3064 Issued in AL

Practice address

404 N Main St
Enterprise, AL 36330-2563

Phone

(334) 393-7465

NPI assigned

Mar 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Madison Hiatt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1730715855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-393-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040A Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161268622",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "endpointDescription": "Genesis",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Genesis",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Genesis",
            "address_1": "9040A Jackson Ave",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984310001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HIATT",
            "credential": "MAT, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Jones, MS, RDN, LDN
• Jamie Bludsworth Jones, D.O.
• Tyler Burkett Jones, PA-C
• Beverly F Jordan, M.D.
• Lawrence C Katz, PH. D.
• Anabeth Gilley Kendrick, M.S., CCC-SLP
• Amy B Kennedy, AUDIOLOGIST
• Kenneth W Chancey DMD LLC
• Bailey Renate Kennington
• Leeann McAliley Kettunen, MD

• Athletic Trainer in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.