MAXX LIFE HEALTH CARE LLC
NPI 1487362919
Family Medicine in Mcdonough, GA

Active since November 14, 2022CLIA 11D2333913 · Waiver
1540 PENNSYLVANIA AVE STE B, MCDONOUGH, GA 30253(404) 932-7183 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2023, Nov 17, 2022 (2 updates tracked since 2022).

About Maxx Life Health Care Llc NPPES

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

MAXX LIFE HEALTH CARE LLC (NPI 1487362919) is a healthcare organization registered as a family medicine in Mcdonough, Georgia and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Maria Waller, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1487362919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAXX LIFE HEALTH CARE LLC
Location Address1540 PENNSYLVANIA AVE STE BMcdonough, GA 30253-9112
Mailing Address1540 Pennsylvania Ave Ste BMcdonough, GA 30253-9112 · (404) 932-7183
Organization SubpartNo
Authorized OfficialMaria WallerManaging Member · (404) 932-7183
Enumeration DateNovember 14, 2022
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
NPI 1487362919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1540 PENNSYLVANIA AVE STE B, Mcdonough, GA 30253

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2333913

Maxx Life Health Care · Mcdonough, GA
Active · expires Nov 12, 2027
CLIA Number11D2333913
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorDr. Betty Strong
Laboratory Phone(678) 814-4049
Laboratory LocationMaxx Life Health Care1540 Pennsylvania Avenue, Suite B, Mcdonough, GA 30253
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Maxx Life Health Care LLC's NPI number?

The NPI number for Maxx Life Health Care LLC is 1487362919. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Maxx Life Health Care LLC located?

Maxx Life Health Care LLC is located at 1540 Pennsylvania Ave Ste B, Mcdonough, GA 30253. The listed phone number is (404) 932-7183.

What is Maxx Life Health Care LLC's specialty?

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

Does Maxx Life Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2333913) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maxx Life Health Care LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 22 other insurers list Maxx Life Health Care LLC 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 Maxx Life Health Care LLC was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.