1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

COURTNEY ANIYAH MADDOX DO
NPI 1134917123
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 29, 2025PECOS Enrolled
920 MADISON AVE RM 551, MEMPHIS, TN 38103(901) 448-3714 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Courtney Aniyah Maddox Do NPPES

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

COURTNEY ANIYAH MADDOX DO (NPI 1134917123) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134917123
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCOURTNEY ANIYAH MADDOXCredential: DO
Location Address920 MADISON AVE RM 551Memphis, TN 38103-3438
Mailing Address920 Madison Ave Rm 551Memphis, TN 38103-3438 · (901) 448-3714
Phone(901) 448-3714
Sole ProprietorYes
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1134917123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVE RM 551, Memphis, TN 38103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Aniyah Maddox Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKEDA SPRINGETTE M.D.
Student in an Organized Health Care Education/Training Program
920 MADISON AVE RM 551
MEMPHIS, TN 38103
Shelby County (901) 448-5814

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 Courtney Maddox's NPI number?

The NPI number for Courtney Maddox is 1134917123. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Courtney Maddox located?

Courtney Maddox practices at 920 Madison Ave Rm 551, Memphis, TN 38103. The listed phone number is (901) 448-3714.

What is Courtney Maddox's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Courtney Maddox enrolled in Medicare?

Yes. Courtney Maddox is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Maddox was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.