Kyle D Maxwell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

94846 Issued in GA

Practice address

1409 Chattanooga Ave
Dalton, GA 30720-2631

Phone

(706) 278-5373

NPI assigned

May 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Pediatric Medicine

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7968/brand/1/csg/1/fhir/r4
• Direct secure messaging: kmaxwell29206@hhcs.direct-ci.com

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.

• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303

  Single Specialty

  Medicare reassignment NPD
• Erlanger Health

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1740073329
  NPD
• Pediatrics of Dalton, PA

  • Specialist
  • Dalton, GA
  • NPI 1063679207

  Single Specialty

  NPD (past)
• Chattanooga Hamilton County Hospital Authority

  dba UT Erlanger Health Network

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1750904504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 PFIZER DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635558",
            "telephone_number": "423-704-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-278-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KYLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "94846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Tiffany Massie, FNP-C
• Alexandrea P Massingill, COTA/L
• Sarbjit Singh Masson, MD
• Joella Matheny, ATC
• Bradley Lamar Mathis
• Therese A Maxwell, MD
• William S Mayberry, MD
• Linda J Mayes, LCSW
• Jan Renee Mayfield, MD
• Ginny Lee Mayher, SLP

• Pediatrics Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.