MARIAH WOOD THAXTON (P.A.) – Physician Assistant, NPI 1174841647

MARIAH WOOD THAXTON (P.A.) is a healthcare provider. based in Watkinsville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 005696 (GA). The NPI Number for MARIAH WOOD THAXTON (P.A.) is 1174841647

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH WOOD THAXTON (P.A.)
NPI
1174841647
Phone
(478) 457-7128
Address
1051 STONE SHOALS CT
Enumeration Date
8 May 2010
Last Update Date
8 May 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6783894147
Graduation Year
2009 (17 years ago)
PAC ID
5294867826
Group Practice PAC ID
4880003771
Professional Enrollment ID
I20100901000236
Address ID
GA300171760GR1132XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MARIAH WOOD THAXTON (P.A.)

  • 1051 STONE SHOALS CT

    WATKINSVILLE, GA 306772774

    Phone: (478) 457-7128

    Type: Mailing

  • 821 N COBB ST

    MILLEDGEVILLE, GA 310612343

    Phone: (478) 457-7128

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Amgen Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$20
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: 2010-09-01

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
I20100901000236IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg36637$0
99213Established patient office or other outpatient visit, 20-29 minutes6358$0
J0696Injection, ceftriaxone sodium, per 250 mg5613$0
96372Injection of drug or substance under skin or into muscle5449$0
99214Established patient office or other outpatient visit, 30-39 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 30677)

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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: 4880003771View full group profile
NameSpecialtyState
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA
Interventional CardiologyGA
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology)OH
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Can I verify MARIAH WOOD THAXTON (P.A.) with an NPI only?
You can start verification with NPI 1174841647 for MARIAH WOOD THAXTON (P.A.), then check state licensing separately.
Is MARIAH WOOD THAXTON (P.A.) listed as active for patients and plans?
The listing shows MARIAH WOOD THAXTON (P.A.) as active in the NPI system.
What taxonomy line describes MARIAH WOOD THAXTON (P.A.)?
For research purposes, treat MARIAH WOOD THAXTON (P.A.) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARIAH WOOD THAXTON (P.A.) on a map?
Expect Watkinsville, Georgia as a primary anchor for MARIAH WOOD THAXTON (P.A.) unless the record lists multiple sites.
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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