BRADLEY J MAXWELL PAA
NPI 1104866250
Anesthesiologist Assistant in Decatur, GA

Q: What is Bradley Maxwell's NPI number?

The NPI number for Bradley Maxwell is 1104866250. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Bradley Maxwell's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Maxwell was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 07, 2006Accepts Medicare Assignment

2701 N DECATUR RD, DECATUR, GA 30033(678) 514-1991(678) 514-1992 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bradley J Maxwell Paa NPPES

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

BRADLEY J MAXWELL PAA (NPI 1104866250) is an individual anesthesiologist assistant in Decatur, Georgia, licensed in Georgia (003166) and active in the NPI registry since June 2006. He is affiliated with Northside Hospital and is a graduate of Emory University School Of Medicine (1998).

NPPES Registry Identity

NPI1104866250

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameBRADLEY J MAXWELLCredential: PAA

Location Address2701 N DECATUR RDDecatur, GA 30033-5918

Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569

Phone(678) 514-1991

Fax(678) 514-1992

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1998

Enumeration DateJune 7, 2006

Last NPPES UpdateFebruary 20, 2013

✔ NPI 1104866250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 003166

Definition

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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2701 N DECATUR RD, Decatur, GA 30033

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Other Identifiers 2

Medicaid100002306AGA

Medicare UPINS90153GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley J Maxwell Paa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456546076

PECOS Enrollment IDI20101109000929

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. JONATHAN JOEL PERKINS M.D.

Family Medicine