JOHN MAITHA (PA-C) – Physician Assistant, NPI 1124564331

JOHN MAITHA (PA-C) is a healthcare provider. based in Fort stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1134461 (). The NPI Number for JOHN MAITHA (PA-C) is 1124564331

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MAITHA (PA-C)
NPI
1124564331
Phone
(912) 315-2737
Address
1061 HARMON AVE
Enumeration Date
11 January 2017
Last Update Date
2 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563423014
Graduation Year
2016 (10 years ago)
PAC ID
0446619720
Group Practice PAC ID
3678569951
Professional Enrollment ID
I20230705001150
Address ID
NJ081031461CA1XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for JOHN MAITHA (PA-C)

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    FORT STEWART, GA 313145641

    Phone: (912) 315-2737

    Type: Location

  • 3 Cooper Plz Rm 403

    Camden, NJ 081031438

    Phone: (856) 342-2270

    Type: Location

  • 1 FEDERAL ST STE 200

    CAMDEN, NJ 081031088

    Phone: (848) 288-6935

    Fax: (732) 790-0107

    Type: Mailing

  • 1 COOPER PLZ

    CAMDEN, NJ 081031461

    Phone: (856) 342-2000

    Fax: (856) 365-1901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Integra LifeSciences Corporation ($32).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230705001150IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678569951View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NJ
Nurse PractitionerNJ
Nurse PractitionerNJ
General SurgeryPA
Nurse PractitionerNJ
Nurse PractitionerNJ
General SurgeryNJ
General SurgeryPA
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN MAITHA (PA-C)?
JOHN MAITHA (PA-C) — NPI 1124564331 — is the standard way to identify this listing.
Is JOHN MAITHA (PA-C) still practicing?
JOHN MAITHA (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does JOHN MAITHA (PA-C) hold?
Scheduling teams often label JOHN MAITHA (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does JOHN MAITHA (PA-C) serve?
JOHN MAITHA (PA-C)'s listing highlights Fort Stewart, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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