Marilyn Maddox, GCADCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

G0078 Issued in GA

Practice address

380 Dahlonega St Ste 100
Cumming, GA 30040-8219

Phone

(678) 771-8468

NPI assigned

Feb 18, 2021

Last updated

Feb 19, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carter Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Alpharetta, GA
  • NPI 1013390590
  NPD
• Carter Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Jefferson, GA
  • NPI 1518725308
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1821681016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408219",
            "telephone_number": "678-771-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408219",
            "telephone_number": "678-771-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Satellite Blvd NW Ste 1004",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244698",
            "country_code": "US",
            "telephone_number": "678-774-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MARILYN",
        "credential": "GCADCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "G0078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Claytor Macer, RPH
• William Macer, RPH
• Shelley Machuta Fernandes, MD
• Selah Mack
• Leah Eve Mickelson Macklin, DO
• Jennifer Webb Maddux, PHARMD
• Jacqueline Madeira, PA-C
• Swapna Madhavan, M.D.
• Cheree Madison, PHD
• Laurel Pestik Magbee, R.PH.

• Addiction (Substance Use Disorder) Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.