Madison Medical Associates, PC
Organization Active NPI Primary Care Clinic/Center · Madison, GA
NPI 1801080288 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1801080288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MADISON MEDICAL ASSOCIATES, PC
- Practice address
- 1550 Eatonton Rd
Madison, GA 30650-4627 - Phone
- (706) 752-0322
- Fax
- (706) 752-0325
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
Authorized official
- Name
- David T Fletcher, M.D.
- Title
- Owner/President
- Phone
- (706) 752-0322
Practitioners 2
-
David Troy Fletcher, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1074085 | Madison Medical Associates PC | Provider-performed microscopy | Sep 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071015000423 | GA | Part B Supplier - Clinic/Group Practice | 7315033842 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, GA |
National Provider Directory
Locations
121 Martha Ln
Rutledge, GA 30663
Phone (706) 752-0322
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HICGAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | GA | ||
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1550 Eatonton Rd
Madison, GA 30650-4627
Mailing address
PO Box 209
Madison, GA 30650-0209
Phone (706) 752-0322
Other providers in Madison, GA
- Madison Drug LLC
- Madison Drug, LLC
- Madison Emergency Group, PC
- Madison Family Medicine,LLP
- Madison House Assisted Living
- Madison Primary Care, LLC
- Madisondentalgroupllc
- Amelia Ruth Malcom
- Kelly Lynn Martin
- Kaylie McAllister
All providers in Madison, GA · Primary Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. 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.
- 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.