Giorgi Maisuradze, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2601 Holme Avenue
Nazareth Hospital, Gme Office, 3Rd Floor Marian Buildin
Philadelphia, PA 19152

Phone

(267) 350-7401

Fax

(267) 350-7441

NPI assigned

Jun 10, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1174457600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVENUE",
            "address_2": "NAZARETH HOSPITAL, GME OFFICE, 3RD FLOOR MARIAN BUILDIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "267-350-7401",
            "fax_number": "267-350-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVENUE",
            "address_2": "NAZARETH HOSPITAL, GME OFFICE, 3RD FLOOR MARIAN BUILDIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "267-350-7401",
            "fax_number": "267-350-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISURADZE",
        "first_name": "GIORGI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Morgen Mairs, LSW
• Jennifer Maisano, COTA
• Beth Arlene Maisel, M.D.
• Ashley Jill Maister
• Eka Maisuradze
• Ankitakumari Balvantbhai Maisuriya
• Tyshi K. Maith-Coleman
• Ana Maitin, CRNP
• Sheera Elaine Maitland, LPC
• Andrew Charles Maitski, MS

• Student in an Organized Health Care Education/Training Program in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.