LEA NICHOLE MADDOX D.O.
NPI 1396276663
Obstetrics & Gynecology - Obstetrics in Clinton Township, MI

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(319) 533-3200 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Apr 27, 2022, Mar 27, 2017 (3 updates tracked since 2017).

About Lea Nichole Maddox D.o. NPPES

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

LEA NICHOLE MADDOX D.O. (NPI 1396276663) is an individual obstetrics provider in Clinton Township, Michigan, licensed in Alabama (2863) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1396276663
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameLEA NICHOLE MADDOXCredential: D.O.
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address1118 Ross Clark Cir Ste 600Dothan, AL 36301-3042 · (334) 793-3900 · Fax (334) 793-5227
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1396276663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in AL · 2863
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
15855 19 MILE RD, Clinton Township, MI 48038

Accepted Insurance

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

Lea Nichole Maddox D.o. 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.

PECOS PAC ID3971872730
PECOS Enrollment IDI20220503000494
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 48038 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

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 Lea Maddox's NPI number?

The NPI number for Lea Maddox is 1396276663. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Lea Maddox located?

Lea Maddox practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (319) 533-3200.

What is Lea Maddox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Lea Maddox enrolled in Medicare?

Yes. Lea 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.

What insurance does Lea Maddox accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lea Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lea Maddox was last updated on July 10, 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.