Organization Active NPI

Madison Medics, LP

  • Land Ambulance
  • Marshall, NC
National Provider Identifier
1740811066
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MADISON MEDICS, LP
Practice address
1443 NC Hwy 213
Marshall, NC 28753
Phone
(336) 846-9111
Fax
(336) 846-2266
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Candace Miller Barker
Title
Billing Director
Phone
(336) 846-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1443 NC Hwy 213
Marshall, NC 28753

Mailing address

716 Mount Jefferson Rd
West Jefferson, NC 28694-8379
Phone (336) 846-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624001868 NC Part B Supplier - Ambulance Service Supplier 7214359009 Practice locations: Marshall, NC

National Provider Directory

National Provider Directory

Locations

716 Mount Jefferson Rd
West Jefferson, NC 28694
Phone (336) 846-9111

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1740811066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MOUNT JEFFERSON RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948379",
            "telephone_number": "336-846-9111",
            "fax_number": "336-846-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 NC HWY 213",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "336-846-9111",
            "fax_number": "336-846-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "336-846-9111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.

Verify at the official NPI Registry.