MADELON EDMONDSON
NPI 1053836023
Counselor - Professional in Roswell, GA
About Madelon Edmondson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELON EDMONDSON (NPI 1053836023) is an individual professional provider in Roswell, Georgia, licensed in Georgia (000180) and active in the NPI registry since August 2017. She has opted out of Medicare through March 21, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Madelon Edmondson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2024 through March 21, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Madelon Edmondson's NPI number?
The NPI number for Madelon Edmondson is 1053836023. It was assigned to this individual provider in the NPPES registry on August 10, 2017.
Where is Madelon Edmondson located?
Madelon Edmondson practices at 1875 Old Alabama Rd Ste 630, Roswell, GA 30076. The listed phone number is (770) 744-4276.
What is Madelon Edmondson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Madelon Edmondson enrolled in Medicare?
No. Madelon Edmondson has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Madelon Edmondson was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Madelon Edmondson · NPI 1053836023
Professional provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since August 10, 2017.
## Identity
- **NPI:** 1053836023 (Entity type: Individual)
- **Enumerated:** August 10, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 000180 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1875 OLD ALABAMA RD STE 630, Roswell, GA 30076-2264
- **Phone:** (770) 744-4276
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053836023) · Data from the CMS NPPES public registry.