Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396093282 Individual Practitioner Female Practitioner

Magan Maddox , LPN

Licensed Practical Nurse • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Magan Maddox, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Conyers, GA. Practice services are available at 985 TAYLOR ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

985 Taylor St Sw

Conyers, GA 300125357

Telephone 7707854345
Associated Practice Facility / Clinic
🏢 Gwinnett County Health Dept Facility NPI 1427312370

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Conyers, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA 078164

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000456486A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Kacey Ingram , RN

Registered Nurse

NPI 1043155492

Registered Nurse

Shontell Robbins , NP-C

Nurse Practitioner

NPI 1134477029

Nurse Practitioner (Certified)

Camille Clarke , LPN

Licensed Practical Nurse

NPI 1215285101

Licensed Practical Nurse

Annasue Hardin , FNP-C

Nurse Practitioner - Primary Care

NPI 1225929839

Family Nurse Practitioner (Certified)

Oyedoyin Oyelami , RN

Registered Nurse

NPI 1306781687

Registered Nurse

NPI 1568710457

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2012

Registered at 985 TAYLOR ST SW, CONYERS, GA 300125357 (Tel: 7707854345)

📍
Updated Business Mailing Address August 27, 2012

Registered at 2570 RIVERSIDE PKWY, P. O. BOX 897, LAWRENCEVILLE, GA 300463339 (Tel: 6784426884)

👤
Provider Name / Credentials Updated August 27, 2012

Recorded as MAGAN MADDOX, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2012

Licensed Practical Nurse (License #078164 in GA)

🟢
Initial NPI Registration & Enumeration August 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396093282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2012
Last Update: August 27, 2012
Sole Proprietor: No

Mailing Address

2570 Riverside Pkwy, P. O. Box 897

Lawrenceville, GA 300463339

Phone: 6784426884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.