Kirsten Madea, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102205322 Issued in VA

Practice address

Community Access Network 800 5TH Street
Lynchburg, VA 24502

Phone

(434) 200-3366

NPI assigned

Apr 23, 2015

Last updated

Dec 26, 2018By 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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirsten.madea.1@8042.direct.athenahealth.com
• Direct secure messaging: kirstenmadea@coan.allscriptsdirect.net

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.

• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1316926538
  Medicare reassignment NPD
• Johnson Health Center

  dba Rustburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Rustburg, VA
  • NPI 1881102655
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Pediatrics

  Medicare reassignment NPD
• Johnson Health Center

  dba Amherst County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, VA
  • NPI 1972858660
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Pulmonologists, PC

  • Pulmonary Disease Physician
  • Gaithersburg, MD
  • NPI 1245270719
  NPD (past)

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1851788202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LIBERTY VIEW LN",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY ACCESS NETWORK 800 5TH STREET",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-200-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEA",
        "first_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102205322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Mackilligan
• John Leach Macneill Jr., M.D.
• Bradley Scott Maddox
• Debra M Maddox, NP
• Riley Elizabeth Maddox
• Loretta Maffei, M.D.
• Andrew Jacob Maggard, PHARMD
• Deborah Riva Magid, MD
• Mitchell J Magid, DMD
• Magnolia Counseling Services, LLC

• Pediatrics Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.