Mr. Jack Enoch Madsen Iv
DPM | Podiatrist | 13+ years Exp
Medicare Enrolled
5445 Meridian Mark Rd, Ste. 390, Atlanta
Georgia, 30342-4763
404-237-3668 404-237-9563
Maps & DirectionsMr. Jack Enoch Madsen Iv is a Atlanta, Georgia based podiatrist with 13 years of experience in Podiatry. He completed his graduation in 2012. He is also affiliated with hospitals like Kaiser Foundation Hospital Fontana/ontario. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jack Enoch Madsen Iv for Podiatry is POD001281 in Georgia.
Mr. Jack Enoch Madsen Iv is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Jack Enoch Madsen Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5445 Meridian Mark Rd, Ste. 390, Atlanta,
Georgia, 30342-4763 |
| Phone: | 404-237-3668 |
| Fax: | 404-237-9563 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1850607334 |
| Enrollment ID: | I20190228001271 |
| NPI Number: | 1780943043 |
| NPI Enumeration Date: | 08 May, 2012 |
| NPI Last Update On: | 10 Feb, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack Enoch Madsen Iv are as mentioned below.
| License Number | Specialization | State | Status | |
| POD001281 | Podiatry | Georgia | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Kaiser Foundation Hospital Fontana/ontario (050140) | Fontana, CA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jack Enoch Madsen Iv is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern California Permanente Medical Group (6002729175) | 7677 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 900 Circle 75 Pkwy Se, Ste. 900
Atlanta, Georgia |
| Zip: | 30339-3035 |
| Phone Number: | 678-426-2171 |
| Fax Number: | 404-446-1957 |
Patients can reach Mr. Jack Enoch Madsen Iv at
5445 Meridian Mark Rd, Ste. 390, Atlanta, Georgia or can
call to book an appointment on 404-237-3668.
Comments/ Reviews:
Patients can read all the reviews posted for Mr. Jack Enoch Madsen Iv below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Jack Enoch Madsen Iv. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.