Active NPI
Garnet D Maharajh, MD
- Pediatrics Physician
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31099
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8953733 | Medicaid | NC | |
| N31099 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| NH Digital Health Services, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| NH Digital Health Services, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1427683044
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1386506855
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Rheumatology Physician
- Kernersville, NC
- NPI 1073951166
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.