MAUREEN GICHARU NURSE PRACTITIONER
NPI 1003465055
Nurse Practitioner - Family in Canton, GA

Active since September 11, 2019PECOS Enrolled
6120 HICKORY FLAT HWY, CANTON, GA 30115(770) 720-0610 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2021, Sep 11, 2019 (2 updates tracked since 2019).

About Maureen Gicharu Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAUREEN GICHARU NURSE PRACTITIONER (NPI 1003465055) is an individual family provider in Canton, Georgia, licensed in Georgia (RN297704) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003465055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAUREEN GICHARUCredential: NURSE PRACTITIONER
Location Address6120 HICKORY FLAT HWYCanton, GA 30115-7252
Mailing Address6120 Hickory Flat HwyCanton, GA 30115-7252 · (770) 720-0610
Sole ProprietorYes
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1003465055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN297704
6120 HICKORY FLAT HWY, Canton, GA 30115

Other Names 1

Professional Name (2)Maureen Gicharu Nurse Practitioner

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Gicharu Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maureen Gicharu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacy
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacist
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115
Pharmacist
6120 HICKORY FLAT HWY
CANTON, GA 30115
Nurse Practitioner (Family)
6120 HICKORY FLAT HWY
CANTON, GA 30115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Gicharu's NPI number?

The NPI number for Maureen Gicharu is 1003465055. It was assigned to this individual provider in the NPPES registry on September 11, 2019. The provider is also known as Maureen Gicharu Nurse Practitioner.

Where is Maureen Gicharu located?

Maureen Gicharu practices at 6120 Hickory Flat Hwy, Canton, GA 30115. The listed phone number is (770) 720-0610.

What is Maureen Gicharu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maureen Gicharu enrolled in Medicare?

Yes. Maureen Gicharu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maureen Gicharu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Gicharu reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maureen Gicharu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Gicharu accept?

Health plans from CareSource (Common Ground Healthcare) list Maureen Gicharu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maureen Gicharu was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.