Active NPI
Maxine Rockhead, FNP
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN191053
- Practice address
- 1263 Moreland Ave SE
Atlanta, GA 30316-3183 - Phone
- (470) 444-3137
- Fax
- (470) 202-3003
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN191053 | GA | Primary |
Addresses
Primary practice location
1263 Moreland Ave SE
Atlanta, GA 30316-3183
Mailing address
PO Box 746063
Atlanta, GA 30374-6063
Phone (866) 464-0875
Other practice location 1
5332 Salem Springs Pl
Lithonia, GA 30038-4850
Phone (770) 323-5161
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1263 Moreland Ave SE
Atlanta, GA 30316-3183
Phone (470) 444-3137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN191053 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Georgia PC | Family | Current | Accepting new patients |
| Qcpi-Villagemd, PC | Past | Accepting new patients |
Locations
1263 Moreland Ave SE
Atlanta, GA 30316
Phone (470) 444-3137
1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1982057469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746063",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746063",
"telephone_number": "866-464-0875",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 MORELAND AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163183",
"telephone_number": "470-444-3137",
"fax_number": "470-202-3003"
}
],
"practiceLocations": [
{
"address_1": "5332 Salem Springs Pl",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300384850",
"country_code": "US",
"telephone_number": "770-323-5161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCKHEAD",
"first_name": "MAXINE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN191053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Allison Barfield Rochon, PA-C
- Morgan Roci, PA-C
- Rock Springs Positive Coaching, Caring, and Counseling, Inc
- Rock Springs Positive Coaching, Caring, and Counseling, Inc.
- Pamela Joy Rock, PT
- Rockwell Oral and Facial Surgery LLC
- Rocky Mountain Holdings, LLC (Grady Air)
- Mayra Alejandra Rodas Calderon, MD
- Kevin J Rodbell, MD
- Taylor Roddie, M.ED, ED.S, NBCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.