Maxwell Geoff Gunn, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

729 Issued in AL

Practice address

Building 301 Andrews Avenue
Fort Novosel, AL 36362

Phone

(334) 255-7743

NPI assigned

Sep 3, 2010

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mgunn@pma.gwaydirect.com

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.

• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment
• Professional Medical Associates PC

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1063476836
  Medicare reassignment
• Southern Alabama Physicians LLP

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1467701490
  Medicare reassignment

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1356658868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 301 ANDREWS AVENUE",
            "city": "FORT NOVOSEL",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 301 ANDREWS AVENUE",
            "city": "FORT NOVOSEL",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "MAXWELL",
        "middle_name": "GEOFF",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "729",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "TA.1713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahc Lyster-Rucker (Dod Ft Novosel Pharmacy)
• Jinyong Bae, DO
• Marcetta R. Chancey, ARNP
• Maria M. Craig, LMSW
• Brandy Allison Dunn, PHARMD, BCPS
• Julie Harriss, PT, DPT, ATC
• Brian Luis Jimenez, M.D.
• Anthony Kadenzy, PTA
• Justin Kirkland
• Riley Jo Koldenhoven, LCSW

• Physician Assistant in Fort Novosel, AL
• Providers in Fort Novosel, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.