Active NPIIndividual provider

Ms. Madison S Creighton, PA-C

Physician Assistant in South Portland, Maine

NPI Number1245865559
Practice location
119 Gannett Dr, South Portland, ME 04106-6942
Fax
207-661-4630
Last updated
November 20, 2025

Madison Scott Creighton is a Physician Assistant based in South Portland, ME. Madison Scott Creighton practices in South Portland, ME and has the professional credentials of PA-C. The NPI Number for Madison Scott Creighton is 1245865559 and holds a License No. PA2979 (ME). The current practice location address for Madison Scott Creighton is 119 Gannett Dr, South Portland, ME 04106-6942 and can be reached out via phone at 207-773-0040 and via fax at 207-661-4630.

Provider Profile Details

NPI Number
1245865559
Provider Name
Madison Scott Creighton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
119 Gannett Dr, South Portland, ME 04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2020
Last Update Date
November 20, 2025
Certification Date
November 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Gannett Dr
South Portland, ME 04106-6942
State
Maine
Zip
04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
119 Gannett Dr
South Portland, ME 04106-6942
City
South Portland
State
ME
Zip
04106-6942
Phone Number
207-773-0040
Fax Number
207-661-4630

License Information

License Number
PA2979
License State
ME
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Madison S Creighton, PA-C?

The NPI number of Ms. Madison S Creighton, PA-C is 1245865559. It was assigned on March 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Madison S Creighton, PA-C?

Ms. Madison S Creighton, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2979.

Where does Ms. Madison S Creighton, PA-C practice?

The practice location is 119 Gannett Dr, South Portland, ME 04106-6942. The office can be reached at 207-773-0040 (phone) or 207-661-4630 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245865559 directly on the NPPES registry website.

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