NPIMap

Individual provider Active NPI

Maximilian Alexander Goebel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rome, GA
National Provider Identifier
1043665409
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
89644 Issued in GA
Practice address
311 W 8TH St NE
Rome, GA 30165-2797
Phone
(706) 291-2430
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 89644 GA Primary
Hematology (Pathology) Physician 207ZH0000X 89644 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.42925 AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 1141 MN
Hematology (Pathology) Physician 207ZH0000X MD.42925 AL

Addresses

Primary practice location

311 W 8TH St NE
Rome, GA 30165-2797

Mailing address

311 W 8TH St NE
Rome, GA 30165-2797
Phone (706) 291-2430

Other practice location 1

420 E 1st St
Duluth, MN 55805-1901
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WY, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211004003266 GA Practitioner - Pathology 3274931308 Reassigns benefits to 1 organization
I20240503003331 WY Practitioner - Pathology 3274931308
I20260319001288 MN Practitioner - Pathology 3274931308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Colorado School of Medicine, Aurora, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
  • Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
  • Tamarack Health Ashland Medical Center Hospital, Ashland, WI, CCN 521359
  • Lakewood Health System Hospital, Staples, MN, CCN 241329

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
74.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
56.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.42925ALMDAnatomic Pathology & Clinical Pathology Physician
89644GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pathology, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Aug 16, 2021 Accepting new patients
Southeastern Pathology, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Aug 16, 2021 Accepting new patients

Locations

311 W 8th St NE
Rome, GA 30165
Phone (706) 291-2430

Organizations & group practices 3

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1043665409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 8TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652797",
            "telephone_number": "706-291-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 8TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652797",
            "telephone_number": "706-291-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051901",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "MAXIMILIAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "89644",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "GA",
            "license": "89644",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD.42925",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "1141",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "AL",
            "license": "MD.42925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.