Individual provider Active NPI

Amy L Maves, PA-C

  • Physician Assistant
  • Americus, GA
National Provider Identifier
1619042132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002602 Issued in GA
Practice address
205 S Lee St
Americus, GA 31709-3913
Phone
(229) 924-4035
Fax
(229) 924-1778
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002602 GA Primary

Addresses

Primary practice location

205 S Lee St
Americus, GA 31709-3913

Mailing address

122 Shirley Rd
Americus, GA 31709-4726
Phone (229) 924-4035

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000493 GA Practitioner - Physician Assistant 9537311139 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002602GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Americus Gynecology and Obstetrics Past Accepting new patients

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619042132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SHIRLEY RD",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094726",
            "telephone_number": "229-924-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S LEE ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093913",
            "telephone_number": "229-924-4035",
            "fax_number": "229-924-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVES",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.