MAXINE MCGOWAN (NPI# 1407907371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407907371 |
| Entity Type | Individual |
| Full Name | MAXINE MCGOWAN |
| Credential | MSN, PHD, FNP-C |
| Practice Address |
3866 Augustine Pl Rex GA 30273-5822 |
| Mailing Address |
6571 Yarbrough Dr Fairburn GA 30213-4649 |
| Practice Telephone | 6783431257 |
| Practice Fax Number | 7705072352 |
| Mailing Telephone | 6783431257 |
| Mailing Fax Number | 7703068720 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 26NR07760600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN201165 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8482306 | 05 |
| Street Address |
3866 AUGUSTINE PL |
| City | REX |
| State | GA |
| Zip Code | 30273-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538494497 | True Care Health Solutions | Nurse Practitioner | 3866 Augustine Pl, Rex, GA 30273-5822 | 2009-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720246 | Never Forgotten Transportation | Non-emergency Medical Transport (VAN) | 6113 Heisler St, Rex, GA 30273 | 2017-10-03 |
| 1235668682 | Berthina Gaynell Weaver | Licensed Practical Nurse | 5820 Rex Ridge Loop, Rex, GA 30273 | 2017-06-08 |
| 1114399573 | Donnita Rountree | Counselor | 6297 Ellenwood Drive, Rex, GA 30273 | 2015-10-26 |
| 1811378433 | Jillian Simpson | Nurse's Aide | 6668 Biscayne Blvd, Rex, GA 30273 | 2015-06-10 |
| 1528478864 | Denise Elecia Lyn-bradley | Counselor | 156 Hayes Circle, Rex, GA 30273 | 2014-05-07 |
| 1699943936 | First Opportunity Home Healthcare,llc. | Home Health | 3113 Caliente Ln, Rex, GA 30273-1002 | 2008-02-20 |
| 1558370288 | Lynne D Scott | Marriage & Family Therapist | 6188 Highway 42, Rex, GA 30273-1028 | 2006-08-05 |
| 1538451083 | Ralph Bernard Willliams | Counselor | 6188 Highway 42, Rex, GA 30273-1028 | 2011-05-03 |
| 1780639518 | Jovans Pharmacy Corp | Pharmacy | 6001 Highway 42, Rex, GA 30273-1030 | 2006-05-23 |
| 1548560964 | Hope & Grace, LLC | Community Based Residential Treatment Facility, Mental Illness | 5860 Ronnie Dr, Rex, GA 30273-1060 | 2010-11-01 |
| Find all providers in zip 30273 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.