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MAXA INTERNAL MEDICINE ASSOCIATES PC
NPI 1902957152
Clinic/Center - Primary Care in Duluth, GA

Active since January 15, 2007CLIA 11D1015082 · Microscopy
3505 DULUTH PARK LN, BUILDING 4, STE 400, DULUTH, GA 30096(678) 597-3180(678) 597-3181 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxa Internal Medicine Associates Pc NPPES

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

MAXA INTERNAL MEDICINE ASSOCIATES PC (NPI 1902957152) is a healthcare organization registered as a primary care in Duluth, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through July 22, 2027 and lists Ashleigh Maxa, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1902957152
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAXA INTERNAL MEDICINE ASSOCIATES PC
Location Address3505 DULUTH PARK LN, BUILDING 4, STE 400Duluth, GA 30096-3201
Mailing Address3505 Duluth Park Ln, Building 4, Ste 400Duluth, GA 30096-3201 · (678) 597-3180 · Fax (678) 597-3181
Phone(678) 597-3180
Fax(678) 597-3181
Organization SubpartNo
Authorized OfficialAshleigh MaxaPractice Administrator · (678) 597-3180
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 19, 2011
✔ NPI 1902957152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3505 DULUTH PARK LN, Duluth, GA 30096
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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 for Provider-Performed Microscopy Procedures (PPMP) 11D1015082

Maxa Internal Medicine Associates PC · Duluth, GA
Active · expires Jul 22, 2027
CLIA Number11D1015082
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRichard R. Maxa
Laboratory Phone(678) 597-3180
Laboratory LocationMaxa Internal Medicine Associates PC3505 Duluth Park Lane, Bdg 4 Suite 400, Duluth, GA 30096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. RICHARD REID MAXA M.D.
Internal Medicine
3505 DULUTH PARK LN, BUILDING 4, STE 400
DULUTH, GA 30096
Gwinnett County (678) 597-3180
TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, LLC
Home Health
3505 DULUTH PARK LN, SUITE 300
DULUTH, GA 30096
Gwinnett County (678) 417-1033
BENIGNO B BOBON M.D.
Internal Medicine
3505 DULUTH PARK LN, BUILDING 4, STE 400
DULUTH, GA 30096
Gwinnett County (678) 597-3180
JOEL KENT PHILLIPS PA
Physician Assistant
3505 DULUTH PARK LN, SUITE 400
DULUTH, GA 30096
Gwinnett County (678) 597-3180

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 Maxa Internal Medicine Associates PC's NPI number?

The NPI number for Maxa Internal Medicine Associates PC is 1902957152. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is Maxa Internal Medicine Associates PC located?

Maxa Internal Medicine Associates PC is located at 3505 Duluth Park Ln Building 4, Ste 400, Duluth, GA 30096. The listed phone number is (678) 597-3180.

What is Maxa Internal Medicine Associates PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Maxa Internal Medicine Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1015082) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maxa Internal Medicine Associates PC was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.