MAXWELL KUYKENDALL DEVINE PA
NPI 1538819453
Physician Assistant - Medical in Gainesville, GA

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501(770) 534-2020 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 11, 2023, Apr 7, 2023, Jan 11, 2023 and 1 more (4 updates tracked since 2022).

About Maxwell Kuykendall Devine Pa NPPES

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

MAXWELL KUYKENDALL DEVINE PA (NPI 1538819453) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (11446) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538819453
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMAXWELL KUYKENDALL DEVINECredential: PA
Location Address200 S ENOTA DR NE STE 100Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateApril 11, 20234 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1538819453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 11446
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11446 (GA)
200 S ENOTA DR NE STE 100, Gainesville, GA 30501

Secondary Practice Locations 3

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-9000
Location 22778 Meridian Dr Apt 3Greenville, NC 27834-5595 · Phone (706) 206-5286
Location 31070 Liberty LnBogart, GA 30622-5306 · Phone (706) 206-5286

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

Maxwell Kuykendall Devine Pa 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 ID8426413626
PECOS Enrollment IDI20230421001825
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.

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services 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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Adult Health)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501

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 Maxwell Devine's NPI number?

The NPI number for Maxwell Devine is 1538819453. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Maxwell Devine located?

Maxwell Devine practices at 200 S Enota Dr NE Ste 100, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is Maxwell Devine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maxwell Devine enrolled in Medicare?

Yes. Maxwell Devine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Maxwell Devine affiliated with any hospitals?

According to CMS data, Maxwell Devine is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Maxwell Devine was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.