Individual provider Active NPI

Jennifer Madeo, DO

  • Infectious Disease Physician
  • Athens, GA
National Provider Identifier
1750678488
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
24486 Issued in MS
Practice address
1270 Prince Ave Ste 301
Athens, GA 30606-2783
Phone
(770) 670-7245
Fax
(706) 612-1314
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 24486 MS Primary

Addresses

Primary practice location

1270 Prince Ave Ste 301
Athens, GA 30606-2783

Mailing address

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303000371 NY Practitioner - Infectious Disease 2567759517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of the Hudson ValleyGroup PAC ID 2860384674, 24 clinicians

Practice addresses (Care Compare)

360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
24486MSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Hudson Valley Infectious Disease CurrentSince May 1, 2022 Accepting new patients

Locations

360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140

29 Fox St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 338-7140

Interoperability endpoints

  • Direct secure messaging: jmadeo@mahv.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1750678488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-7540",
            "fax_number": "662-293-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE STE 301",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062783",
            "telephone_number": "770-670-7245",
            "fax_number": "706-612-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEO",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MS",
            "license": "24486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.