Active NPI 1083692552 Individual Practitioner Male Practitioner

Marcus Samuel Maddox , SLP

Speech-Language Pathologist • Mableton, GA

Professional Overview & Biography Verified Profile Summary

Marcus Maddox, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mableton, GA. Practice services are available at 5967 CEDAR LN SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5967 Cedar Ln Sw

Mableton, GA 301263801

Telephone 6784817209

Fax 6786692325

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mableton, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Mableton, GA (4796 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

CMS Verified: 2024-01-30

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP005885

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

379871475B (GA)

Medicaid State Provider ID

379871475C (GA)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 30, 2024

Registered at 5967 CEDAR LN SW, MABLETON, GA 301263801 (Tel: 6784817209)

📍

Updated Business Mailing Address January 30, 2024

Registered at 5967 CEDAR LN SW, MABLETON, GA 301263801 (Tel: 6784817209)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2253 WIND ROSE CT, LITHONIA, GA 300583597 (Tel: 6788952924)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2253 WIND ROSE CT, LITHONIA, GA 300583597 (Tel: 6788952924)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARCUS MADDOX, SLP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SLP005885 in GA)

🟢

Initial NPI Registration & Enumeration January 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083692552

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 05, 2006

Last Update: January 30, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5967 Cedar Ln Sw

Mableton, GA 301263801

Phone: 6784817209

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.