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MADISON ADULT MEDICINE, INC.
NPI 1710085915
Clinic/Center - Primary Care in Madison, TN

Active since September 20, 2006CLIA 44D1057645 · Waiver
607 W DUE WEST AVE, SUITE 122, MADISON, TN 37115(615) 868-0600(615) 868-9544 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Adult Medicine, Inc. NPPES

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

MADISON ADULT MEDICINE, INC. (NPI 1710085915) is a healthcare organization registered as a primary care in Madison, Tennessee and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Marcus Min, Physician, as its authorized official.

NPPES Registry Identity

NPI1710085915
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMADISON ADULT MEDICINE, INC.
Location Address607 W DUE WEST AVE, SUITE 122Madison, TN 37115-4431
Mailing Address607 W Due West Ave, Suite 122Madison, TN 37115-4431 · (615) 868-0600 · Fax (615) 868-9544
Phone(615) 868-0600
Fax(615) 868-9544
Organization SubpartNo
Authorized OfficialMarcus MinPhysician · (615) 868-0600
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710085915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
607 W DUE WEST AVE, Madison, TN 37115
Open in Google Maps ↗

Other Identifiers 1

Medicaid3802837TN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Adult Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Madison Adult Medicine, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Jeon, MD
Family Practice
NPI 1194220988
607 W DUE WEST AVE STE 122
Madison, TN 37115
(615) 868-0600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1057645

Madison Adult Medicine, Inc · Madison, TN
Active · expires Aug 16, 2028
CLIA Number44D1057645
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorGregory Jeon
Laboratory Phone(615) 868-0600
Laboratory LocationMadison Adult Medicine, Inc607 West Due West Ave, Suite 122, Madison, TN 37115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Adult Medicine, Inc.'s NPI number?

The NPI number for Madison Adult Medicine, Inc. is 1710085915. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Madison Adult Medicine, Inc. located?

Madison Adult Medicine, Inc. is located at 607 W Due West Ave Suite 122, Madison, TN 37115. The listed phone number is (615) 868-0600.

What is Madison Adult Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Madison Adult Medicine, Inc. enrolled in Medicare?

Yes. Madison Adult Medicine, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Adult Medicine, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Madison Adult Medicine, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Madison Adult Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1057645) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison Adult Medicine, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.