MRS. ALLISON NICOLE MADDOX (CRNP) – Family Nurse Practitioner, NPI 1962759050

MRS. ALLISON NICOLE MADDOX (CRNP) is a healthcare provider. based in Gordo, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-113898 (AL). The NPI Number for MRS. ALLISON NICOLE MADDOX (CRNP) is 1962759050

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALLISON NICOLE MADDOX (CRNP)
NPI
1962759050
Phone
(205) 887-3108
Address
469 RIDGEFIELD DR
Enumeration Date
8 August 2012
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053437300
Graduation Year
2012 (14 years ago)
PAC ID
2062662315
Group Practice PAC ID
1557686243
Professional Enrollment ID
I20121022000484
Address ID
AL354762400NO2400XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. ALLISON NICOLE MADDOX (CRNP)

  • 469 RIDGEFIELD DR

    GORDO, AL 354664300

    Phone: (205) 887-3108

    Type: Mailing

  • 7700 HIGHWAY 69 S STE C

    TUSCALOOSA, AL 354058784

    Phone: (205) 349-1041

    Type: Location

  • 7700 Highway 69 S Ste C

    Tuscaloosa, AL 354058784

    Phone: (205) 349-1041

    Type: Location

  • 1174 TAYLORWOOD CIR

    TUSCALOOSA, AL 354055943

    Phone: (205) 887-3108

    Type: Mailing

  • 3835 WATERMELON RD STE D

    NORTHPORT, AL 354735003

    Phone: (205) 331-4904

    Fax: (205) 331-4914

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-28 • Largest payer in this snapshot: GENZYME CORPORATION ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GENZYME CORPORATION$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121022000484INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35466)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557686243View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerMA
-AL
Nurse PractitionerAL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does MRS. ALLISON NICOLE MADDOX (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. ALLISON NICOLE MADDOX (CRNP) uses 1962759050.
Does the file indicate MRS. ALLISON NICOLE MADDOX (CRNP) is practicing under active NPI?
Directory data currently reports MRS. ALLISON NICOLE MADDOX (CRNP) as active.
What taxonomy line describes MRS. ALLISON NICOLE MADDOX (CRNP)?
For research purposes, treat MRS. ALLISON NICOLE MADDOX (CRNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. ALLISON NICOLE MADDOX (CRNP) based?
MRS. ALLISON NICOLE MADDOX (CRNP) is tied to Gordo, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about MRS. ALLISON NICOLE MADDOX (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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