Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Deray Maddox, CAA

Individual provider Anesthesiologist Assistant · NPI 1114536828

Justin Deray Maddox, CAA is an Anesthesiology Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone: (404) 712-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 9999 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1114536828
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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