MR. MADISON LEE FOUNTAIN DNP, AGNP-C
NPI 1700590734
Nurse Practitioner - Adult Health in Greensboro, NC

Active since January 13, 2023PECOS EnrolledAccepts Medicare Assignment
3200 NORTHLINE AVE STE 250, GREENSBORO, NC 27408(336) 689-0669 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Jun 7, 2024, Jan 13, 2023 (3 updates tracked since 2023).

About Mr. Madison Lee Fountain Dnp, Agnp-c NPPES

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

MR. MADISON LEE FOUNTAIN DNP, AGNP-C (NPI 1700590734) is an individual adult health provider in Greensboro, North Carolina, licensed in North Carolina (5020174) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700590734
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. MADISON LEE FOUNTAINCredential: DNP, AGNP-C
Location Address3200 NORTHLINE AVE STE 250Greensboro, NC 27408-7619
Mailing Address4406 Hopewell Church RdTrinity, NC 27370-7348 · (336) 689-0669
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 13, 2023
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1700590734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NC · 5020174
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020174 (NC)
Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License 304292 (NC)
3200 NORTHLINE AVE STE 250, Greensboro, NC 27408

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mr. Madison Lee Fountain Dnp, Agnp-c 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 ID1951832211
PECOS Enrollment IDI20240927001401
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 17

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

Internal Medicine (Cardiovascular Disease)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Internal Medicine (Cardiovascular Disease)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Internal Medicine (Cardiovascular Disease)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Nurse Practitioner (Adult Health)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Nurse Practitioner (Family)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Internal Medicine (Cardiovascular Disease)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Internal Medicine (Cardiovascular Disease)
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408
Physician Assistant
3200 NORTHLINE AVE STE 250
GREENSBORO, NC 27408

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 Madison Fountain's NPI number?

The NPI number for Madison Fountain is 1700590734. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Madison Fountain located?

Madison Fountain practices at 3200 Northline Ave Ste 250, Greensboro, NC 27408. The listed phone number is (336) 689-0669.

What is Madison Fountain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Madison Fountain enrolled in Medicare?

Yes. Madison Fountain 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 Madison Fountain accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Madison Fountain 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.

Is Madison Fountain affiliated with any hospitals?

According to CMS data, Madison Fountain is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Madison Fountain was last updated on July 2, 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.