Individual provider Active NPI

Madelaine Odette Santos-Vega, M.D.

  • Pediatrics Physician
  • Americus, GA
National Provider Identifier
1790752228
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
74351 Issued in GA
Practice address
609 East Lamar Street
Americus, GA 31709-3737
Phone
(229) 924-8636
Fax
(229) 924-8786
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 74351 GA Primary

Addresses

Primary practice location

609 East Lamar Street
Americus, GA 31709-3737

Mailing address

609 E Lamar St
Americus, GA 31709-3737
Phone (229) 924-8636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20161213001677 GA Practitioner - Pediatric Medicine 2860772613 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74351GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Nov 28, 2016 Accepting new patients
Careconnect Health, Inc. CurrentSince Nov 28, 2016 Accepting new patients
Plains Medical Center, Inc, Past Accepting new patients

Locations (25 of 42)

205 Rees St
Americus, GA 31709
Phone (229) 928-4755

603 E Lamar St
Americus, GA 31709
Phone (229) 928-3444

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

206 E Lamar St
Americus, GA 31709
Phone (229) 924-6648

618 E Lamar St
Americus, GA 31709
Phone (229) 924-4808

609 E Lamar St
Americus, GA 31709
Phone (229) 924-8636

317 E Washington Ave
Ashburn, GA 31714
Phone (229) 567-4414

80 W Main St
Butler, GA 31006
Phone (478) 862-5453

6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028

6011 Watson Blvd
Ste 380
Byron, GA 31008
Phone (478) 304-3006

109 S 3rd St
Cochran, GA 31014
Phone (478) 934-4988

711 E 16th Ave
Cordele, GA 31015
Phone (229) 271-9330

712 N 7th St
Cordele, GA 31015
Phone (229) 276-0052

110 E 13th Ave
Cordele, GA 31015
Phone (229) 273-0359

1007 E 16th Ave
Ste A
Cordele, GA 31015
Phone (229) 273-1716

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

215 E 13th Ave
Cordele, GA 31015
Phone (229) 276-0100

298 US Highway 520
Cusseta, GA 31805
Phone (706) 989-1050

125 McDonald Ave
Cuthbert, GA 39840
Phone (229) 732-3721

771 Roundtree Dr SW
#A
Dawson, GA 39842
Phone (229) 270-1905

817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801

41 E Oglethorpe St
Ellaville, GA 31806
Phone (229) 937-2440

130 N Lee St
Forsyth, GA 31029
Phone (478) 974-6080

209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054

23 Old School Rd
Georgetown, GA 39854
Phone (229) 334-9353

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1790752228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-924-8636",
            "fax_number": "229-924-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 EAST LAMAR STREET",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-924-8636",
            "fax_number": "229-924-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-VEGA",
        "first_name": "MADELAINE",
        "middle_name": "ODETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "74351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.