John B Madden, M.D.
Individual provider Active NPI Family Medicine Physician · Flowood, MS
NPI 1790795276 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1790795276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18603 (MS)
- Practice address
- 4290 Lakeland Dr Ste a
Flowood, MS 39232-9571 - Phone
- (601) 932-0083
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- River Oaks Management Company LLC
Practice addresses (Care Compare)
1030 River Oaks Dr
Jackson, MS 39232-9553
Phone (601) 392-1030
4290 Lakeland Dr
Suite a
Flowood, MS 39232-9571
Phone (601) 932-0083
Hospital & facility affiliations
- Centerwell Home Health
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Homecare of Jackson
- Adoration Home Health
- Enhabit Home Health
- Merit Health River Oaks
- Merit Health Women'S Hospital
- Mississippi Baptist Medical Center
- St Dominic-Jackson Memorial Hospital
- Crossgates River Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000908 | MS | Practitioner - Family Practice | 6406880533 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18603 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oaks Management Company LLC | Family Medicine | Current | Accepting new patients |
| Reservoir Family Medical Clinic, PA | Family Medicine | Current | Accepting new patients |
| Crossgates Hma Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Crossgates Hma Medical Group, LLC | Current |
Accepting new patients | |
| Careplus Lakeview Family Medicine | Family Medicine | Current |
Accepting new patients |
| River Oaks Management Company, LLC | Family Medicine | Current |
Accepting new patients |
| Crossgates Hma Medical Group, LLC | Current |
Accepting new patients | |
| J. Brad Madden, MD Family Medicine | Family Medicine | Past | Accepting new patients |
Locations
201 N College St
Ste 102
Brandon, MS 39042
Phone (601) 825-3074
98 Burnham Rd
Ste B
Brandon, MS 39042
Phone (601) 933-1676
130 Southpointe Dr
Ste D
Byram, MS 39272
4290 Lakeland Dr
Ste A
Jackson, MS 39232
Phone (601) 932-0083
Interoperability endpoints
- john.madden.1@4695.direct.athenahealth.com
- https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18603 | MS | Yes |
Addresses
Primary practice location
4290 Lakeland Dr Ste a
Flowood, MS 39232-9571
Mailing address
4290 Lakeland Dr Ste a
Flowood, MS 39232-9571
Phone (601) 932-0083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04904314 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.madden.1@4695.direct.athenahealth.com |
Other providers in Flowood, MS
- M H Allen LLC
- M-D Medical Services, Inc.
- Anna Kristen Macdonald
- Amy Macon
- Sudhakar Madakasira
- Madison Physician Surgery Center, LLC
- Magnolia Anesthesia Consultants LLC
- Magnolia Elite Wellness Group LLC
- Magnolia Internal Medical Clinic
- Magnolia Neurology Clinic
All providers in Flowood, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.