1. Home
  2. Directory
  3. South Carolina
  4. Fort Mill
  5. Family Medicine
  6. NPI Profile

CRYSTAL ANTREASE MAXWELL MD
NPI 1215061437
Family Medicine in Fort Mill, SC

Active since March 16, 2007Opted out of Medicare · through Jan 1, 2027
2021 BRIDGEMILL DR, SUITE 102, FORT MILL, SC 29707(704) 594-1140(219) 209-5611 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Antrease Maxwell Md NPPES

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

CRYSTAL ANTREASE MAXWELL MD (NPI 1215061437) is an individual family medicine provider in Fort Mill, South Carolina, licensed in South Carolina (32570) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215061437
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCRYSTAL ANTREASE MAXWELLCredential: MD
Location Address2021 BRIDGEMILL DR, SUITE 102Fort Mill, SC 29707
Mailing Address2021 Bridgemill Dr, Suite 102Fort Mill, SC 29707 · (704) 594-1140 · Fax (219) 209-5611
Phone(704) 594-1140
Fax(219) 209-5611
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1215061437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 32570✔ Licensed in TN · 44539
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2021 BRIDGEMILL DR, Fort Mill, SC 29707
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Crystal Antrease Maxwell Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29707 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

BRIAN KEITH SUTTON
Physical Therapist
2021 BRIDGEMILL DR, STE 106
INDIAN LAND, SC 29707
Lancaster County (803) 298-8995
CRESCENT MOON PSYCHOTHERAPY, LLC
Community/Behavioral Health
2021 BRIDGEMILL DR
FORT MILL, SC 29707
Lancaster County (313) 509-7699
KERRY PATTERSON BRIONES MD
Internal Medicine
2021 BRIDGEMILL DR
INDIAN LAND, SC 29707
Lancaster County (803) 286-1814
MRS. JENNIFER FUNDERBURK SMALL FNP-C
Nurse Practitioner (Family)
2021 BRIDGEMILL DR
INDIAN LAND, SC 29707
Lancaster County (803) 416-5410

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 Crystal Maxwell's NPI number?

The NPI number for Crystal Maxwell is 1215061437. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Crystal Maxwell located?

Crystal Maxwell practices at 2021 Bridgemill Dr Suite 102, Fort Mill, SC 29707. The listed phone number is (704) 594-1140.

What is Crystal Maxwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crystal Maxwell enrolled in Medicare?

No. Crystal Maxwell has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Crystal Maxwell was last updated on December 9, 2020. 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.