Madison Medical Associates, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 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

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David T Fletcher, M.D.NPI 1548461643

Title

Owner/President

Phone

(706) 752-0322

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HICGAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Troy Fletcher, M.D.

  • Family Medicine Physician
  • Madison, GA
  • NPI 1548461643
  Medicare reassignment Care Compare group Authorized official
• Paul Edward Raber, DO

  • Family Medicine Physician
  • Madison, GA
  • NPI 1740394428
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1801080288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306500209",
            "telephone_number": "706-752-0322",
            "fax_number": "706-752-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EATONTON RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504627",
            "telephone_number": "706-752-0322",
            "fax_number": "706-752-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-752-0322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Drug LLC (Madison Drug)
• Madison Drug, LLC (Madison Drug LLC LTC)
• Madison Emergency Group, PC
• Madison Family Medicine,LLP
• Madison House Assisted Living
• Madison Primary Care, LLC
• Madisondentalgroupllc
• Amelia Ruth Malcom, APRN
• Kelly Lynn Martin
• Kaylie McAllister

• Primary Care Clinic/Center in Madison, GA
• Providers in Madison, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.