Holly Ann Maddox, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024176838 Issued in VA

Practice address

600 Gresham Dr FL 7
Norfolk, VA 23507-1904

Phone

(757) 388-3447

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Holly A Maddox Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

George Washington University School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Mobile Wound Care of Virginia LLCGroup PAC ID 8426573528, 11 clinicians

Wound Care SpecialistsGroup PAC ID 6608959549, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Mobile Wound Care of Virginia LLC

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1174324610

  VA

  Medicare reassignment Care Compare group NPD
• Wound Care Specialists

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1538366372

  VA

  Medicare reassignment Care Compare group NPD
• Mid-Atlantic Post Acute & Long Term Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225557556

  Adult Health, VA

  Medicare reassignment NPD
• Scott Wagner Integrated Medicine LLC

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1447875042

  VA

  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  VA

  Medicare reassignment NPD
• Old Mission Wound Care Virginia PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1255170627

  VA

  Medicare reassignment NPD
• Lonnie W Lassiter II, M.D.

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1457302804
  Care Compare group
• Rebirth Advanced Healing LLC

  • Specialist
  • Johnson City, TN
  • NPI 1174390413
  NPD

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1760950331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR FL 7",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Kingsley Ln Ste 312",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054618",
            "country_code": "US",
            "telephone_number": "757-354-2885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6541 Rolling Brook Rd Apt 105-11",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240191452",
            "country_code": "US",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2760 Godwin Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348501",
            "country_code": "US",
            "telephone_number": "757-983-8650",
            "fax_number": "757-983-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024176838",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024176838",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024176838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MADDOX",
            "middle_name": "A",
            "credential": "AGPCNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Norfolk, VA
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.