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MARY E MAXWELL PA
NPI 1952829178
Physician Assistant - Medical in Carrollton, GA

Active since September 08, 2017PECOS EnrolledAccepts Medicare Assignment
165 CLINIC AVE, CARROLLTON, GA 30117(770) 836-9824(770) 836-9850 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary E Maxwell Pa NPPES

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

MARY E MAXWELL PA (NPI 1952829178) is an individual medical provider in Carrollton, Georgia and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952829178
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY E MAXWELLCredential: PA
Location Address165 CLINIC AVECarrollton, GA 30117-4413
Mailing Address119 Ambulance Dr Ste 202Carrollton, GA 30117-3857 · (770) 838-8710 · Fax (770) 838-8563
Phone(770) 836-9824
Fax(770) 836-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2017
✔ NPI 1952829178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
165 CLINIC AVE, Carrollton, GA 30117
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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 and accepts Medicare assignment

Mary E Maxwell 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 ID1557620127
PECOS Enrollment IDI20180108000699
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 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%47 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

JASON CHASE SANDERS II M.D.
Radiology (Radiation Oncology)
165 CLINIC AVE
CARROLLTON, GA 30117
Carroll County (770) 836-9824
DR. ANIL A DHOPLE M.D.
Radiology (Radiation Oncology)
165 CLINIC AVE
CARROLLTON, GA 30117
Carroll County (770) 836-9824
DR. JAMES RICHARD BLAND II M.D.
Radiology (Radiation Oncology)
165 CLINIC AVE
CARROLLTON, GA 30117
Carroll County (770) 836-9824

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 Mary Maxwell's NPI number?

The NPI number for Mary Maxwell is 1952829178. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Mary Maxwell located?

Mary Maxwell practices at 165 Clinic Ave, Carrollton, GA 30117. The listed phone number is (770) 836-9824.

What is Mary Maxwell's specialty?

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

Is Mary Maxwell enrolled in Medicare?

Yes. Mary Maxwell 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 Mary Maxwell affiliated with any hospitals?

According to CMS data, Mary Maxwell is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Mary Maxwell was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.