Individual provider Active NPI

Garnet D Maharajh, MD

  • Pediatrics Physician
  • Monroe, NC
National Provider Identifier
1376532960
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31099 Issued in NC
Practice address
1994 Wellness Blvd
Suite 110
Monroe, NC 28110-7767
Phone
(704) 384-8460
Fax
(704) 384-8465
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31099 NC Primary

Addresses

Primary practice location

1994 Wellness Blvd
Suite 110
Monroe, NC 28110-7767

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-8460

Other identifiers 2

IdentifierTypeStateIssuer
8953733MedicaidNC
N31099MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmaharajh15231@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190522001253 NC Practitioner - Pediatric Medicine 8022257799 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc CurrentSince Mar 24, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 24, 2019 Accepting new patients
NH Digital Health Services, LLC CurrentSince Oct 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NH Digital Health Services, LLC CurrentSince Oct 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

1994 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 384-8460

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3614 S Providence Rd
Ste 101
Waxhaw, NC 28173
Phone (704) 341-9600

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: gmaharajh15231@direct.novanthealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1376532960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-8460",
            "fax_number": "704-384-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 WELLNESS BLVD",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107767",
            "telephone_number": "704-384-8460",
            "fax_number": "704-384-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJH",
        "first_name": "GARNET",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "31099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953733",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N31099",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmaharajh15231@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1994 Wellness Blvd",
            "address_2": "Suite 110",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281107767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.