MARIA NEWHAM
NPI 1609232495
Physician Assistant in Valdosta, GA

Active since January 08, 2016PECOS EnrolledAccepts Medicare Assignment
71.88/100
CMS Quality Rating
804 NORTHWOOD PARK DR, VALDOSTA, GA 31602(229) 249-7888 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Newham NPPES

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

MARIA NEWHAM (NPI 1609232495) is an individual physician assistant in Valdosta, Georgia, licensed in Georgia (007852) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609232495
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA NEWHAM
Location Address804 NORTHWOOD PARK DRValdosta, GA 31602-1392
Mailing Address3812 Honeysuckle DrValdosta, GA 31605-5104 · (229) 210-1023
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 8, 2016
NPI 1609232495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 007852
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
804 NORTHWOOD PARK DR, Valdosta, GA 31602

Accepted Insurance

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

Maria Newham 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 ID749585057
PECOS Enrollment IDI20160224002588
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
570 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
508 services461 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
314 services261 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
183 services175 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
128 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
111 services97 patients

Hospital Affiliations CMS Care Compare

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

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.34
Promoting Interoperability100
Improvement Activities40
Cost58.94

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
804 NORTHWOOD PARK DR
VALDOSTA, GA 31602
Family Medicine
804 NORTHWOOD PARK DR
VALDOSTA, GA 31602

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 Maria Newham's NPI number?

The NPI number for Maria Newham is 1609232495. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Maria Newham located?

Maria Newham practices at 804 Northwood Park Dr, Valdosta, GA 31602. The listed phone number is (229) 249-7888.

What is Maria Newham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Newham enrolled in Medicare?

Yes. Maria Newham 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.

What insurance does Maria Newham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Maria Newham 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.

Is Maria Newham affiliated with any hospitals?

According to CMS data, Maria Newham is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Maria Newham was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.