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MADISON MEDFORD
NPI 1801408323
Counselor - Professional in Marlborough, MA

Active since August 17, 2020PECOS Enrolled
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752(678) 469-6150 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Aug 17, 2020 (2 updates tracked since 2020).

About Madison Medford NPPES

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

MADISON MEDFORD (NPI 1801408323) is an individual professional provider in Marlborough, Massachusetts, licensed in Georgia (APC008829) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801408323
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMADISON MEDFORD
Location Address225 CEDAR HILL ST STE 200Marlborough, MA 01752-5900
Mailing Address225 Cedar Hill St Ste 200Marlborough, MA 01752-5900
Phone(678) 469-6150
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 17, 2020
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1801408323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · APC008829
Also ListedBehavior TechnicianTaxonomy 106S00000X
225 CEDAR HILL ST STE 200, Marlborough, MA 01752
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7810461779
PECOS Enrollment IDI20260701001705
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.

Medicare Billing Reassignment

Medicare enrollment records show Madison Medford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Of Georgia LLC
931 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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

Other Providers at the Same Location NPPES 20

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

VANESSA L STENKE
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (720) 450-6878
HELANA CASTILLO
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (978) 590-0416
DAVID ORTIZ
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978
DISHON CLARK
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (850) 510-6013
DEXTER DAVIS
Behavior Analyst
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (413) 886-4555
KEDDIE S PIERRE-LEFEVRE
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (857) 266-5371
RONAJA TARRANT KING
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (857) 829-4040
MIA BEACH
Behavior Technician
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978

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 Medford's NPI number?

The NPI number for Madison Medford is 1801408323. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Madison Medford located?

Madison Medford practices at 225 Cedar Hill St Ste 200, Marlborough, MA 01752. The listed phone number is (678) 469-6150.

What is Madison Medford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Madison Medford enrolled in Medicare?

Yes. Madison Medford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Medford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Medford reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Madison Medford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Medford accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Madison Medford 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 Madison Medford was last updated on April 24, 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.