Individual provider Active NPI

Alison Christine Maddox, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1932201381
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024169397 Issued in VA
Practice address
5477 Mooretown Rd
Williamsburg, VA 23188-2108
Phone
(757) 561-5677
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001240680 VA
Registered Nurse 163W00000X 60729 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024169397 VA Primary
Certified Registered Nurse Anesthetist 367500000X 0024169397 VA

Addresses

Primary practice location

5477 Mooretown Rd
Williamsburg, VA 23188-2108

Mailing address

5477 Mooretown Rd
Williamsburg, VA 23188-2108
Phone (757) 561-5677

Other practice location 1

5483 Mooretown Rd
Williamsburg, VA 23188-2108
Phone (757) 767-5111

Other identifiers 1

IdentifierTypeStateIssuer
0024169397OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241118000982 VA Practitioner - Nurse Practitioner 3779641865 Reassigns benefits to 2 organizations
I20260415004072 DC Practitioner - Nurse Practitioner 3779641865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Physicians PCGroup PAC ID 2860394178, 28 clinicians
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

2810 N Parham Rd
Suite 120
Richmond, VA 23294-4422
Phone (804) 288-4881

5483 Mooretown Rd
Williamsburg, VA 23188-2108
Phone (757) 767-5111

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60729NEMDRegistered Nurse
0001240680VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians PC Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia West, P.C. Past Accepting new patients
Anesthesia West, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients

Locations

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

9407 Cumberland Rd
New Kent, VA 23124
Phone (804) 966-1706

804 Moorefield Park Dr
Ste 108
North Chesterfield, VA 23236
Phone (804) 323-8282

2810 N Parham Rd
Ste 120
Richmond, VA 23294

1510 N 28th St
Richmond, VA 23223
Phone (804) 225-1792

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

5483 Mooretown Rd
Williamsburg, VA 23188
Phone (757) 767-5111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1932201381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 MOORETOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882108",
            "telephone_number": "757-561-5677",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 MOORETOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882108",
            "telephone_number": "757-561-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5483 Mooretown Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882108",
            "country_code": "US",
            "telephone_number": "757-767-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "ALISON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001240680",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "60729",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024169397",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0024169397",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.