Charles G Maitland, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME43800 Issued in FL

Practice address

1401 Centerville Rd
Suite 510
Tallahassee, FL 32308-4647

Phone

(850) 878-3592

Fax

(850) 878-3970

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1387.epichosted.com/FHIRProxyPRD/HOME/api/FHIR/R4
• Direct secure messaging: cmaitland22238@tallahasseememorial.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balance Disorders Clinic, Inc

  • Specialist
  • Tallahassee, FL
  • NPI 1366745671
  Medicare reassignment NPD Authorized official
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1013914084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 510",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-878-3592",
            "fax_number": "850-878-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 510",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-878-3592",
            "fax_number": "850-878-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME43800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068900900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl F. Mahler, M.S.
• John P. Mahoney, M.D.
• Harry T Mai, M.D.
• Haiyan Maier, PHD, RDN, LDN
• Irene Maini
• Rawan Majdalawi
• Mini Majumdar, DMD
• Maki Psychological Services, LLC
• Maki Psychological Services, LLC
• Alicia Maki, PH.D.

• Specialist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.