MADELYN KING – Dermatology Physician, NPI 1811342124

MADELYN KING is a healthcare provider. based in Jackson, Mississippi. specializing in DERMATOLOGY. They hold a License No. 39111 (AL). The NPI Number for MADELYN KING is 1811342124

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MADELYN KING
NPI
1811342124
Phone
(601) 815-3061
Address
2500 N STATE ST
Enumeration Date
25 April 2016
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2516351315
Graduation Year
2016 (10 years ago)
PAC ID
0749578052
Group Practice PAC ID
1254400823
Professional Enrollment ID
I20200618003214
Address ID
AL366095195MO6163XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

94 DERMATOLOGY in MS

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Provider Addresses for MADELYN KING

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    DEPARTMENT OF DERMATOLOGY

    JACKSON, MS 392164500

    Phone: (601) 815-3061

    Type: Mailing

  • 6163 OMNI PARK DR

    MOBILE, AL 366095195

    Phone: (251) 635-1315

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,135.

Total Amount is formed as General ($1,135) + Research ($0) + Ownership ($0) = $1,135.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($519).

Total Amount

$1,135

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-18

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
I20200618003214IDermatologyALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths883124$0
99213Established patient office or other outpatient visit, 20-29 minutes298186$0
17000Destruction of precancer skin growth, 1 growth205154$0
99214Established patient office or other outpatient visit, 30-39 minutes18299$0
17110Destruction of skin growth, 1-14 growths151118$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 1254400823View full group profile
NameSpecialtyState
D E R M A T O L O G YAL

Reviews

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Frequently asked questions

How is MADELYN KING identified in CMS data?
CMS-hosted NPPES data lists MADELYN KING with NPI 1811342124.
Does CMS list MADELYN KING as active?
Yes — MADELYN KING is active in the NPI listing used on this page.
What is MADELYN KING best known for clinically?
Directory data describes MADELYN KING with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MADELYN KING on a map?
Expect Jackson, Mississippi as a primary anchor for MADELYN KING unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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