MR. JIMMY H MADDOX RN/MSN/FNP-BC
NPI 1487989885
Nurse Practitioner - Family in Swainsboro, GA
About Mr. Jimmy H Maddox Rn/msn/fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JIMMY H MADDOX RN/MSN/FNP-BC (NPI 1487989885) is an individual family provider in Swainsboro, Georgia, licensed in Georgia (RN166580) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jimmy H Maddox Rn/msn/fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jimmy Maddox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jimmy Maddox's NPI number?
The NPI number for Jimmy Maddox is 1487989885. It was assigned to this individual provider in the NPPES registry on October 2, 2009.
Where is Jimmy Maddox located?
Jimmy Maddox practices at 117 Kite Road, Swainsboro, GA 30401. The listed phone number is (478) 289-1265.
What is Jimmy Maddox's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jimmy Maddox enrolled in Medicare?
Yes. Jimmy Maddox is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jimmy Maddox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Maddox reassigns Medicare benefits to Optum Care Services Company (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmy Maddox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jimmy Maddox was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Jimmy H Maddox, RN/MSN/FNP-BC · NPI 1487989885
Family physician in Swainsboro, Georgia. Individual provider, active in the CMS NPPES registry since October 2, 2009.
## Identity
- **NPI:** 1487989885 (Entity type: Individual)
- **Enumerated:** October 2, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN166580 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 117 KITE ROAD, Swainsboro, GA 30401
- **Phone:** (478) 289-1265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Care Services Company (NPI 1912199415, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1487989885) · Data from the CMS NPPES public registry.