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

Mickyle Maddix

Individual provider Case Manager/Care Coordinator · NPI 1013787696

Mickyle Maddix is a Case Manager/Care Coordinator in Loganville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

822 Kaitlyn Dr
Loganville, GA 30052-6929
Phone: (347) 613-0990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1013787696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address822 Kaitlyn Dr, Loganville, GA 30052-6929

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