Madison Operating Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MADISON OPERATING GROUP LLC

Practice address

2000 Greenway St
Kingsport, TN 37660-3020

Phone

(423) 224-6900

Fax

(423) 224-3759

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Anshel Niederman

Title

Manager

Phone

(919) 900-2005

Specialties & licenses 1

Addresses

Other names 1

• Madison House Doing business as

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1740070945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREENWAY ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603020",
            "telephone_number": "423-224-6900",
            "fax_number": "423-224-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREENWAY ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603020",
            "telephone_number": "423-224-6900",
            "fax_number": "423-224-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON OPERATING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "ANSHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-900-2005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Trivett Maclucas, APRN
• Whitney Leigh Maden, FNP
• Russell David Mader, M.D.
• Shailee A Madhok, M.D.
• Hannah M Madill, NP
• Patricia Madison, CRNA
• Michael Allen Magee, M.D.
• Brian Lee Maggard, MD
• Magnolia Meadows LLC
• Thomas Garland Magruder V, MD

• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.