MELANIE BETH MADDOX FNP-BC
NPI 1780297630
Nurse Practitioner in Birmingham, AL

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242(205) 421-2088(205) 278-7660 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melanie Beth Maddox Fnp-bc NPPES

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

MELANIE BETH MADDOX FNP-BC (NPI 1780297630) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-106572) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780297630
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE BETH MADDOXCredential: FNP-BC
Location Address3700 CAHABA BEACH RDBirmingham, AL 35242-5225
Mailing Address270 County Road 76Centre, AL 35960-8301 · (256) 239-9337
Fax(205) 278-7660
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2020
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1780297630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in AL · 1-106572 Licensed in GA · RN190286
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3700 CAHABA BEACH RD, Birmingham, AL 35242

Other Identifiers 1

Medicaid63-0825248AL

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

Melanie Beth Maddox Fnp-bc 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 ID8527486158
PECOS Enrollment IDI20200915000985
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
194 services22 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
79 services38 patients
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.
61 services60 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
52 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services33 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Internal Medicine
3700 CAHABA BEACH RD
HOOVER, AL 35242
Nurse Practitioner
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Physician Assistant
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Nurse Practitioner (Family)
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Nurse Practitioner
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Nurse Practitioner (Family)
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242
Nurse Practitioner (Family)
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242

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 Melanie Maddox's NPI number?

The NPI number for Melanie Maddox is 1780297630. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Melanie Maddox located?

Melanie Maddox practices at 3700 Cahaba Beach Rd, Birmingham, AL 35242. The listed phone number is (205) 421-2088.

What is Melanie Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melanie Maddox enrolled in Medicare?

Yes. Melanie 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 Melanie Maddox accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Melanie 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 Melanie Maddox was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.