John B Madden, M.D.
Family Medicine in Flowood, MS. Individual provider (NPI-1).
NPI number1790795276
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1790795276
- Entity type
- Individual (NPI-1)
- Name
- John B Madden
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 18603 | MS | Yes |
Practice location
4290 Lakeland Dr Ste AFlowood, MS 39232-9571
Phone 601-932-0083
Mailing address
4290 Lakeland Dr Ste AFlowood, MS 39232-9571
Phone 601-932-0083
Is something wrong?
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