Individual provider Active NPI

Tiffany Edwards Madison, M.D.

  • Internal Medicine Physician
  • Roswell, GA
National Provider Identifier
1841497054
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64534 Issued in GA
Practice address
2500 Hospital Blvd Ste 250
Roswell, GA 30076-4990
Phone
(770) 442-1111
Fax
(770) 740-2990
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64534 GA Primary

Addresses

Primary practice location

2500 Hospital Blvd Ste 250
Roswell, GA 30076-4990

Mailing address

2500 Hospital Blvd Ste 250
Roswell, GA 30076-4990
Phone (770) 442-1111

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
I20101006000327 GA Practitioner - Internal Medicine 8426240698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Fulton Internal Medicine GroupGroup PAC ID 8628962925, 4 clinicians

Practice addresses (Care Compare)

2500 Hospital Blvd
Suite 250
Roswell, GA 30076-4907
Phone (770) 442-1111

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Atlanta, GA, CCN 117132
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64534GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Internal Medicine Group CurrentSince Apr 8, 2025 Accepting new patients

Locations

2500 Hospital Blvd
Ste 250
Roswell, GA 30076
Phone (770) 442-1111

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1841497054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764990",
            "telephone_number": "770-442-1111",
            "fax_number": "770-740-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764990",
            "telephone_number": "770-442-1111",
            "fax_number": "770-740-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "TIFFANY",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "64534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.