NPIMap

Individual provider Active NPI

Richard Reid Maxa, M.D.

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1144371386
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042655 Issued in GA
Practice address
3505 Duluth Park LN
Building 4, Ste 400
Duluth, GA 30096-3201
Phone
(678) 597-3180
Fax
(678) 597-3181
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042655 GA Primary

Addresses

Primary practice location

3505 Duluth Park LN
Building 4, Ste 400
Duluth, GA 30096-3201

Mailing address

3505 Duluth Park LN
Building 4, Ste 400
Duluth, GA 30096-3201
Phone (678) 597-3180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000939 GA Practitioner - Internal Medicine 1254245152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Maxa Internal Medicine Associates PCGroup PAC ID 7113831017, 6 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3203
Phone (678) 597-3180

4700 Nelson Brogdon Blvd
Suite 240
Buford, GA 30518-5401
Phone (770) 271-3188

Hospital & facility affiliations

  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Staff Builders Home Health, an Amedisys Company Home health agency, Duluth, GA, CCN 117083
  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042655GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxa Internal Medicine Associates PC CurrentSince Apr 14, 2003 Accepting new patients

Locations

3505 Duluth Park Ln
Ste 400
Duluth, GA 30096
Phone (678) 579-3180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDBA/Endpoint/ACEDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDBA

Organizations & group practices 2

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1144371386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 DULUTH PARK LN",
            "address_2": "BUILDING 4, STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963201",
            "telephone_number": "678-597-3180",
            "fax_number": "678-597-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 DULUTH PARK LN",
            "address_2": "BUILDING 4, STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963201",
            "telephone_number": "678-597-3180",
            "fax_number": "678-597-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXA",
        "first_name": "RICHARD",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.