Individual provider Active NPI

Roseann Maikis, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
National Provider Identifier
1811990971
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34108 Issued in TN
Practice address
330 23Rd Ave N
Ste 305
Nashville, TN 37203-1534
Phone
(615) 986-6039
Fax
(615) 234-1520
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34108 TN Primary

Addresses

Primary practice location

330 23Rd Ave N
Ste 305
Nashville, TN 37203-1534

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers 2

IdentifierTypeStateIssuer
6078010OtherTNBLUE CROSS BLUE SHIELD
Q027614MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041029000680 TN Practitioner - Obstetrics/Gynecology 8921902990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

330 23Rd Ave N
Suite 604
Nashville, TN 37203-1534
Phone (615) 329-7940

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34108TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Aug 1, 2016 Accepting new patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2011 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 301-1000

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

2222 State St
Ste A
Nashville, TN 37203
Phone (615) 327-2075

Interoperability endpoints

  • Direct secure messaging: roseann.maikis@ahp.eclinicaldirectplus.com

Organizations & group practices 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1811990971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "STE 305",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-986-6039",
            "fax_number": "615-234-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIKIS",
        "first_name": "ROSEANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "34108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6078010",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.