Individual provider · Type 1 NPI

Justin Deray Maddox, CAA

Anesthesiologist Assistant · Atlanta, GA

NPI number 1114536828 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-7100 Map

Mailing address

PO Box 723081
Atlanta, GA 31139-0081

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XNone listed
Anesthesiologist Assistant Primary 367H00000X9999 (GA)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1114536828

Justin Deray Maddox, CAA's National Provider Identifier is 1114536828, issued on Jul 28, 2020. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 9, 2026.