MR. MARCUS SAMUEL MADDOX SLP
NPI 1083692552
Speech-Language Pathologist in Mableton, GA

Active since January 05, 2006
5967 CEDAR LN SW, MABLETON, GA 30126(678) 481-7209(678) 669-2325 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Marcus Samuel Maddox Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARCUS SAMUEL MADDOX SLP (NPI 1083692552) is an individual speech-language pathologist provider in Mableton, Georgia, licensed in Georgia (SLP005885) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1083692552
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. MARCUS SAMUEL MADDOXCredential: SLP
Location Address5967 CEDAR LN SWMableton, GA 30126-3801
Mailing Address5967 Cedar Ln SwMableton, GA 30126-3801 · (678) 481-7209 · Fax (678) 669-2325
Fax(678) 669-2325
Sole ProprietorYes
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1083692552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP005885
Definition
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.
5967 CEDAR LN SW, Mableton, GA 30126

Other Identifiers 2

Medicaid379871475BGA
Medicaid379871475CGA

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 Marcus Maddox's NPI number?

The NPI number for Marcus Maddox is 1083692552. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Marcus Maddox located?

Marcus Maddox practices at 5967 Cedar Ln SW, Mableton, GA 30126. The listed phone number is (678) 481-7209.

What is Marcus Maddox's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Marcus Maddox was last updated on January 30, 2024. 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.