Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CARLEY DANIELLE MADDOX
NPI 1346164993
Nurse Practitioner in Jackson, MS

Active since August 06, 2026PECOS Enrolled
969 LAKELAND DR, JACKSON, MS 39216(601) 200-6688(601) 200-7375 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Aug 6, 2026 (2 updates tracked since 2026).

About Carley Danielle Maddox NPPES

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

CARLEY DANIELLE MADDOX (NPI 1346164993) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (908656) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346164993
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLEY DANIELLE MADDOX
Location Address969 LAKELAND DRJackson, MS 39216-4699
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-6688 · Fax (225) 765-9196
Fax(601) 200-7375
Sole ProprietorNo
Enumeration DateAugust 6, 2026
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1346164993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 908656
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
969 LAKELAND DR, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carley Danielle Maddox 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Carley Maddox's NPI number?

The NPI number for Carley Maddox is 1346164993. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Carley Maddox located?

Carley Maddox practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-6688.

What is Carley Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carley Maddox enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carley Maddox was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.