Richard Reid Maxa (NPI# 1144371386, PAC ID# 1254245152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144371386 |
| PAC ID by PECOS | 1254245152 |
| Professional Enrollment ID | I20111026000939 |
| Full Name | Richard Reid Maxa |
| Organization Legal Name | MAXA INTERNAL MEDICINE ASSOCIATES PC |
| Address |
3505 Duluth Park Lane Bldg 4 Suite 400 Duluth GA 30096 |
| Phone Number | 6785973180 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7113831017 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 | 6785973180 | MAXA INTERNAL MEDICINE ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 10% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 90% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 22% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 84% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 76% |
| Organization Legal Name | MAXA INTERNAL MEDICINE ASSOCIATES PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cori Folkes Harrell | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Benigno B Bobon | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Joel Kent Phillips | Physician Assistant | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Laura E Lashley | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Elizabeth Cercone | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Street Address |
3505 DULUTH PARK LANE BLDG 4 SUITE 400 |
| City | DULUTH |
| State | GA |
| Zip | 30096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cori Folkes Harrell | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Benigno B Bobon | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Joel Kent Phillips | Physician Assistant | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Laura E Lashley | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Elizabeth Cercone | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Mark Sommer | Chiropractic | 3699 Duluth Park Lane, Suite 110, Duluth, GA 30096 | |
| Janet S Waldt | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Otis Winston Clark | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 |
| Sherry E Johnson | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Danielle R Mcgee | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Kristina Marie Arcury | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Katlyn Liley | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Duluth, GA 30096 |
| Dongik Shin | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Duluth, GA 30096 |
| Lauren Van Der Sluys | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 |
| Wolfgang H Cerwinka | Urology | Georgia Urology, Pa | 3855 Pleasant Hill Rd, Duluth, GA 30096-1407 |
| Find all physicians in zip 30096 | |||
| City | DULUTH |
| Zip Code | 30096 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DULUTH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Richard Reid Maxa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.