JUSTIN DERAY MADDOX CAA
NPI 1114536828
Anesthesiologist Assistant in Atlanta, GA
About Justin Deray Maddox Caa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN DERAY MADDOX CAA (NPI 1114536828) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (9999) and active in the NPI registry since July 2020. He is affiliated with Emory University Hospital and is a graduate of Emory University School Of Medicine (2020).
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
Enrolled in Medicare and accepts Medicare assignment
Justin Deray Maddox Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Justin Maddox's NPI number?
The NPI number for Justin Maddox is 1114536828. It was assigned to this individual provider in the NPPES registry on July 28, 2020.
Where is Justin Maddox located?
Justin Maddox practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-7100.
What is Justin Maddox's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Justin Maddox enrolled in Medicare?
Yes. Justin Maddox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Justin Maddox affiliated with any hospitals?
According to CMS data, Justin Maddox is affiliated with Emory University Hospital.
When was this NPI record last updated?
The NPPES record for Justin Maddox was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Justin Deray Maddox, CAA · NPI 1114536828
Anesthesiologist Assistant physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 28, 2020.
## Identity
- **NPI:** 1114536828 (Entity type: Individual)
- **Enumerated:** July 28, 2020
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 9999 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322-1059
- **Phone:** (404) 712-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Emory University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114536828) · Data from the CMS NPPES public registry.