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: August 02, 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, 2026 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
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

Other Identifiers 1

Medicaid3802837TN

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, 2026
CLIA Number44D1057645
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
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.

Other Providers at the Same Location NPPES 14

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

Clinical Nurse Specialist (Family Health)
607 W DUE WEST AVE, SUITE 105
MADISON, TN 37115
Clinic/Center (Physical Therapy)
607 W DUE WEST AVE, SUITE 123
MADISON, TN 37115
Clinic/Center (Sleep Disorder Diagnostic)
607 W DUE WEST AVE
MADISON, TN 37115
Dentist (General Practice)
607 W DUE WEST AVE, SUITE 108
MADISON, TN 37115
Clinic/Center (Primary Care)
607 W DUE WEST AVE
MADISON, TN 37115
Internal Medicine
607 W DUE WEST AVE, SUITE 113
MADISON, TN 37115
Physician Assistant
607 W DUE WEST AVE, SUITE # 105
MADISON, TN 37115
Clinic/Center (Primary Care)
607 W DUE WEST AVE, SUITE 105
MADISON, TN 37115

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.

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, 2026. 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 5 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.