VICTORIA MICHELLE MADRAY (MD) – Dermatology Physician, NPI 1649847070
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for VICTORIA MICHELLE MADRAY (MD)
124 Carteret Rd
Brunswick, GA 315253028
Phone: (912) 480-0474
Fax: (912) 257-4148
Type: Location
2804 Saint Marys Rd
Saint Marys, GA 315584559
Phone: (912) 439-3186
Fax: (912) 634-6542
Type: Location
400 Lister St
Waycross, GA 315015226
Phone: (912) 283-4850
Fax: (912) 283-4864
Type: Location
242 MOSSY OAK CIR
NORTH AUGUSTA, SC 298413095
Phone: (912) 424-7262
Type: Mailing
7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA 315222286
Phone: (912) 634-4966
Fax: (912) 634-6542
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $2,503.
Total Amount is formed as General ($2,503) + Research ($0) + Ownership ($0) = $2,503.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($281).
Total Amount
$2,503
General + Research + Ownership
Payments
59
Total payment records
General Amount
$2,503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $281 |
| Amgen Inc. | $266 |
| Regeneron Healthcare Solutions, Inc. | $211 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $175 |
| Lilly USA, LLC | $165 |
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: 2025-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250509000289 | I | Dermatology | GA | TBD |
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.
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 31525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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