NICHOLAS MADDOX FNP-BC NPI 1609584960

NPI Information

  • NPI: 1609584960
  • Provider Name: NICHOLAS MADDOX, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 540 WAUGH ST
    JEFFERSON, NC
    ZIP 28640
  • Phone: (336) 246-5581

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NPI Details

Nicholas Maddox, FNP-BC is a family nurse practitioner in Jefferson, NC with 4 years of experience. Nicholas Maddox, FNP-BC NPI is 1609584960. 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:

540 WAUGH ST
JEFFERSON, NC
ZIP 28640-034
Phone: (336) 246-5581

The NPI 1609584960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2022 and was last updated on 4/12/2025.

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
1363LF0000XNurse PractitionerFamily5021560NORTH CAROLINAYes
2363LP2300XNurse PractitionerPrimary Care0024185720VIRGINIANo

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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