Daryl Clinton Madden, PA-C
Physician Assistant in Smyrna, TN. Individual provider (NPI-1).
NPI number1184698136
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1184698136
- Entity type
- Individual (NPI-1)
- Name
- Daryl Clinton Madden
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2006
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4862 | TN | Yes |
| 363A00000X | Physician Assistant | 4723 | GA |
Practice location
519 Enon Springs Rd ESmyrna, TN 37167-4446
Phone 615-223-6200
Mailing address
519 Enon Springs Rd ESmyrna, TN 37167-4446
Phone 615-223-6200
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All 25 Physician Assistant providers in Smyrna · All 1,476 providers in Smyrna
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