Maxine Hines

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

287680 Issued in GA

Practice address

2363 Clifton Springs Rd
Decatur, GA 30034-2911

Phone

(404) 918-7016

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1962147660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 WASHINGTON DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 CLIFTON SPRINGS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342911",
            "telephone_number": "404-918-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MAXINE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "287680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22082197",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon L Hill, PA
• Katharine Arnold Hilliard-Yntema, MD
• Rebecca Carbley Hilliard, FNP-C
• Rose Andrea Hills, LPN
• Marc E Hinckley, PAAA
• Melanie M Hines
• Sonja Johnson Hines, MSW, MPA
• Prentis Hinton Sr.
• His Fruit LLC
• His Vision Healthcare

• Phlebotomy Technician in Decatur, GA
• Providers in Decatur, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.