Madison Fox Threlkeld, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

250990 Issued in NC

Practice address

209 Park St
Suite 100
Belmont, NC 28012-5205

Phone

(704) 825-4750

Fax

(704) 825-6985

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Caromont Medical Group, Inc.

  • Family Medicine Physician
  • Bessemer City, NC
  • NPI 1124682927
  NPD

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1770029035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARK ST",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125205",
            "telephone_number": "704-825-4750",
            "fax_number": "704-825-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK ST",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125205",
            "telephone_number": "704-825-4750",
            "fax_number": "704-825-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRELKELD",
        "first_name": "MADISON",
        "middle_name": "FOX",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "250990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aveeda Thavichith
• The Charlotte-Mecklenburg Hospital Authority
• Theraplay Associates Inc.
• Megan L Thomas, PT
• Alexis Thompson
• Thrower Enterprises Inc
• William Nathan Thrower Jr.
• Kent D Tilley, MDIV., NCCFBPPC
• Brittany Gaskins Timmons, FNP
• Transformation Services Inc.

• Family Nurse Practitioner in Belmont, NC
• Providers in Belmont, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.