| Dr Donald Jerome Maddox, MD | |
|
1325 Spring St, Greenwood, SC 29646-3860 | |
| (864) 725-4799 | |
| (864) 725-4707 |
| Full Name | Dr Donald Jerome Maddox |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1325 Spring St, Greenwood, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093769002 | NPI | - | NPPES |
| G41458 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 21312 (South Carolina) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Entity Name | Peach State Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053170605 PECOS PAC ID: 7719328038 Enrollment ID: O20240516002831 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Jerome Maddox, MD 1091 Mallard Cir, Bogart, GA 30622-2765 Ph: (706) 310-0063 | Dr Donald Jerome Maddox, MD 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4799 |
John G Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Richard D Brooksbank, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Gregory C Givens, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Michael David Cox, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4671 | |
John P Short, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Dr. Michelle Maria Curry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Lakelands Emergency Physicians, Pa, Greenwood, SC 29646 Phone: 864-725-4799 Fax: 864-725-4707 |