STANFORD JAMES MADDOX NPI 1528553716

NPI Information

  • NPI: 1528553716
  • Provider Name: STANFORD JAMES MADDOX
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 2250 OAK RD UNIT 815
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 899-6364

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NPI Details

Stanford James Maddox is a contractor in Snellville, GA. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. Stanford James Maddox NPI is 1528553716. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2250 OAK RD UNIT 815
SNELLVILLE, GA
ZIP 30078-905
Phone: (770) 899-6364

The enumeration date for this NPI number is 6/29/2018 and was last updated on 9/9/2020.

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
1261QP2000XClinic/CenterPhysical TherapyNo
2171W00000XContractorGEORGIAYes

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
1455255557OTHERGEORGIABUSINESS INFO

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: 11/21/2025

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