Individual provider Active NPI

Maya Hosein, MD

  • Pulmonary Disease Physician
  • Warner Robins, GA
National Provider Identifier
1336307586
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
63470 Issued in GA
Practice address
512 S Houston Lake Rd
Warner Robins, GA 31088-6308
Phone
(478) 254-2644
Fax
(478) 254-4924
NPI assigned
May 23, 2008
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 63470 GA Primary

Addresses

Primary practice location

512 S Houston Lake Rd
Warner Robins, GA 31088-6308

Mailing address

P O Box 26790
Macon, GA 31221-6790
Phone (478) 254-2644

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000429 GA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3870629819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitalist Group LLCGroup PAC ID 2769813906, 48 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

2024 Watson Blvd
BLDG 1
Warner Robins, GA 31093-3624
Phone (478) 449-5030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63470GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitalist Group LLC CurrentSince Sep 25, 2021 Accepting new patients
Middle Georgia Pulmonary, LLC Pulmonary Disease CurrentSince Jun 2, 2014 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients
Houston Hospitals Inc Past Accepting new patients

Locations

121 Sparta Hwy
Eatonton, GA 31024
Phone (478) 461-3291

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2024 Watson Blvd
Ste 1
Warner Robins, GA 31093
Phone (478) 225-9882

512 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 302-5106

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIGHCA/Endpoint/IIGHCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit HospiceMacon, GA, CCN 111763 Hospice Contracted Managing Employee Apr 2, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1336307586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 26790",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216790",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886308",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEIN",
        "first_name": "MAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "63470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.