Individual ProviderTonya MaddoxNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0010(910) 908-4673(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Tonya Maddox is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1558753772Provider TypeIndividualFull NameMaddox, TonyaCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date2/25/2015Last Updated2/20/2026Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0010Phone(910) 908-4673Fax(910) 908-2242Mailing LocationMailing Address2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001Phone(910) 907-8922Fax(910) 907-6069Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP127557TexasCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP127557Texas