CHERYL L MADDOX (NPI# 1497128383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497128383 |
| Entity Type | Individual |
| Full Name | CHERYL L MADDOX |
| Credential | PT |
| Practice Address |
1061 Harmon Ave Ste 1d03 Fort Stewart GA 31314-5674 |
| Practice Telephone | 9124355965 |
| Mailing Telephone | 9124355965 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | PT009994 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932529567 | Cheryl Maddox | Social Worker | 7556 Forest Mere Dr, Riverview, FL 33578-8626 | 2014-04-22 |
| Street Address |
1061 HARMON AVE STE 1D03 |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381570 | Deborah Greggs Loughney | Pharmacist | 1061 Harmon Ave Ste 1d03, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2005-07-22 |
| 1740710102 | Billie Niehoff | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2017-06-18 |
| 1013378892 | Selina Marie Pooser | Physician Assistant | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2016-03-08 |
| 1255712006 | Robert Lawrence IIi | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-06-17 |
| 1558753632 | Dallin Mitchell | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-02-25 |
| 1205230224 | Shaundra Robinson | Registered Nurse | 1061 Harmon Ave Ste 1d03, Bldg. 308, Fort Stewart, GA 31314-5641 | 2014-10-20 |
| 1851792436 | Michelle Bunting | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1124429709 | Sandra Tina Watkins | Licensed Practical Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1952702383 | Christine Willey Macko | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-04 |
| 1023422714 | Steven Robles | Psychologist | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941363 | Danielle Wilhight | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-03-14 |
| 1497294003 | Kristopher David Minsinger | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-02-15 |
| 1730635517 | Gary Yone | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-08-31 |
| 1043611783 | Jerry Kelly | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-12 |
| 1386044915 | Joshua Adkins | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-02 |
| 1255530309 | Roy Dewayne Edwards | Military Health Care Provider | 1061 Harmon Ave, Winn Army Community Hospital, Fort Stewart, GA 31314-5641 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425568 | Greggory Theotis Kent | Military Health Care Provider | 223 E Grady Ave, Lyons, GA 30436-1509 | 2019-12-26 |
| 1083142947 | Integrative Cap Health Practices | Military Health Care Provider | 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 | 2017-05-23 |
| 1972037323 | Alicia Anderson | Military Health Care Provider | 621 Mcgruder St. Ne, Atlanta, GA 30312 | 2017-04-12 |
| 1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
| 1982063749 | Mallori Tittle | Military Health Care Provider | 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 | 2016-02-22 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1235575325 | Gerardo Julian Soracco | Military Health Care Provider | 4415 Northside Chase Nw, Atlanta, GA 30327-3567 | 2013-05-15 |
| 1790023406 | Donna Sue Muller | Military Health Care Provider | 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 | 2013-01-30 |
| 1316298144 | Sandra Diane Tyree | Military Health Care Provider | 6490 Clyattstone Rd, Hahira, GA 31632-3112 | 2012-09-19 |
| 1558643536 | Eleanor S. Lee | Military Health Care Provider | 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 | 2011-09-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on CHERYL L MADDOX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.