Carrie L Madej, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

53123 Issued in GA

Practice address

917 Jonesboro Road
McDonough, GA 30253-6031

Phone

(678) 814-4901

Fax

(678) 814-4908

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Ellenwood, GA
  • NPI 1447290218
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)
• Correctmed Locust Grove, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1245554682
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1962492744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 740209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303704029",
            "telephone_number": "678-814-4901",
            "fax_number": "678-814-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 JONESBORO ROAD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536031",
            "telephone_number": "678-814-4901",
            "fax_number": "678-814-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJ",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "53123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399112982A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M&G Lewis Logistics LLC
• Macon Eyecare Associates Inc
• Maddox Pharmacy Inc
• Joel Maddox II
• Tajamyah Maddox
• Margaret Strickland Maguire, APRN, FNP-C
• Tonya Renee Mallory, RN
• Yolanda Malone-Gilbert, M.D.
• Mandalay Consulting
• Mandalay Consulting LLC

• Internal Medicine Physician in McDonough, GA
• Providers in McDonough, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.