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MAXLORENZO AGBAYANI MD
NPI 1467081224
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since April 03, 2020PECOS Enrolled
1500 OGLETHORPE AVE STE 200D, ATHENS, GA 30606(706) 389-3875(706) 389-3876 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maxlorenzo Agbayani Md NPPES

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

MAXLORENZO AGBAYANI MD (NPI 1467081224) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467081224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAXLORENZO AGBAYANICredential: MD
Location Address1500 OGLETHORPE AVE STE 200DAthens, GA 30606-2165
Mailing Address1230 Baxter St OfcAthens, GA 30606-3712 · (706) 389-3860 · Fax (706) 389-3861
Phone(706) 389-3875
Fax(706) 389-3876
Sole ProprietorNo
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1467081224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 OGLETHORPE AVE STE 200D, Athens, GA 30606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxlorenzo Agbayani Md 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.

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.

SHABTAB KHAN M.D
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 389-3875
DR. LARA KHAMO MD
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 389-3875
TARIQ WAEL ZAKARIA DO
Internal Medicine
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 389-3875
ELIZABETH JEAN-NOEL ANP-BC
Nurse Practitioner (Adult Health)
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 559-4405
ST. MARY'S MEDICAL GROUP, INC.
Internal Medicine (Infectious Disease)
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 559-4405
MARK P VISITACION MD
Internal Medicine (Infectious Disease)
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 559-4405
NADIA TAMIA MD
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 389-3875
ANDREW CLERMONT
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200D
ATHENS, GA 30606
Clarke County (706) 389-3875

Frequently Asked Questions

What is Maxlorenzo Agbayani's NPI number?

The NPI number assigned to this healthcare provider is 1467081224, enumerated as an "individual" on April 03, 2020.

Where is the provider located?

The provider is located at 1500 OGLETHORPE AVE STE 200D ATHENS, GA 30606 and the phone number is (706) 389-3875.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.