Maya Regina Trocheck, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN280827 Issued in GA

Practice address

1561 Lenru Rd Ste a
Bogart, GA 30622-3334

Phone

(770) 725-2399

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maya Regina Gebhardt Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qoala Home Care LLC 2 clinicians

Tapestry Hospice of Northwest Georgia LLC 6 clinicians

Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Qoala Home Care, LLC

  • Family Nurse Practitioner
  • Buford, GA
  • NPI 1942969753

  Family, GA

  Medicare reassignment Care Compare group NPD
• Tapestry Hospice of Northwest Georgia LLC

  • Community Based Hospice Care Agency
  • Calhoun, GA
  • NPI 1952686768

  GA

  Medicare reassignment Care Compare group NPD
• Creative Hospice Care Inc

  • Clinic/Center
  • Bogart, GA
  • NPI 1437897956

  GA

  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Creative Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Bogart, GA
  • NPI 1326330010
  NPD
• Creative Hospice Care Inc

  • Community Based Hospice Care Agency
  • Roswell, GA
  • NPI 1942354675
  NPD (past)

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1083377014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 GODDARDS FORD RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045128",
            "telephone_number": "607-745-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LENRU RD STE A",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223334",
            "telephone_number": "770-725-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Hamilton Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305194112",
            "country_code": "US",
            "telephone_number": "678-926-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROCHECK",
        "first_name": "MAYA",
        "middle_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN280827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "GEBHARDT",
            "middle_name": "REGINA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Bogart, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.