MR. MARCUS SAMUEL MADDOX SLP NPI 1083692552

NPI Information

  • NPI: 1083692552
  • Provider Name: MR. MARCUS SAMUEL MADDOX, SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 5967 CEDAR LN SW
    MABLETON, GA
    ZIP 30126
  • Phone: (678) 481-7209

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NPI Details

MR. Marcus Samuel Maddox, SLP is a speech language pathologist in Mableton, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MR. Marcus Samuel Maddox, SLP NPI is 1083692552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5967 CEDAR LN SW
MABLETON, GA
ZIP 30126-801
Phone: (678) 481-7209
Fax: (678) 669-2325

The enumeration date for this NPI number is 1/5/2006 and was last updated on 1/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP005885GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1379871475BMEDICAIDGEORGIA
2379871475CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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