Individual provider Active NPI

Celestine O Maiki, MD

  • Gastroenterology Physician
  • Jonesboro, GA
National Provider Identifier
1649278532
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
052283 Issued in GA
Practice address
7823 Spivey Station Blvd Ste 100
Jonesboro, GA 30236-2886
Phone
(404) 251-2680
Fax
(404) 252-2688
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 052283 GA Primary

Addresses

Primary practice location

7823 Spivey Station Blvd Ste 100
Jonesboro, GA 30236-2886

Mailing address

7823 Spivey Station Blvd Ste 100
Jonesboro, GA 30236-2886
Phone (404) 251-2680

Other identifiers 2

IdentifierTypeStateIssuer
199807383AMedicaidGA
841642192OtherGATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040830000758 GA Practitioner - Gastroenterology 9830164631 Reassigns benefits to 2 organizations
I20210916000887 VA Practitioner - Gastroenterology 9830164631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052283GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Sep 11, 2023 Accepting new patients
The Emory Clinic Inc Gastroenterology CurrentSince Jul 17, 2017 Accepting new patients
Bayview Physician Services, PC CurrentSince Sep 11, 2023 Accepting new patients
Arizona Gastroenterology & Therapeutic Endoscopy PC Gastroenterology Past Accepting new patients
South Florida Gastroenterology Associates PA Gastroenterology PastSince Mar 3, 1997 Accepting new patients
Aga Professional Services, LLC Gastroenterology PastSince Sep 1, 2015 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

2000 Meade Pkwy
Ste 400
Suffolk, VA 23434
Phone (757) 606-1720

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

Interoperability endpoints

  • Direct secure messaging: cmaiki20191@direct.emory.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
  • Direct secure messaging: celestine.maiki@bayview.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1649278532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD STE 100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "404-251-2680",
            "fax_number": "404-252-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD STE 100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "404-251-2680",
            "fax_number": "404-252-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIKI",
        "first_name": "CELESTINE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "052283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199807383A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "841642192",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

Verify at the official NPI Registry.