MAXINE MCGOWAN (MSN, PHD, FNP-C) – Primary Care Nurse Practitioner, NPI 1407907371

MAXINE MCGOWAN (MSN, PHD, FNP-C) is a healthcare provider. based in Fairburn, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PHD, FNP-C. They hold a License No. 26NR07760600 (NJ). The NPI Number for MAXINE MCGOWAN (MSN, PHD, FNP-C) is 1407907371

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MAXINE MCGOWAN (MSN, PHD, FNP-C)
NPI
1407907371
Phone
(678) 343-1257
Address
6571 YARBROUGH DR
Enumeration Date
16 January 2007
Last Update Date
8 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036668145
Graduation Year
2000 (26 years ago)
PAC ID
7517059827
Group Practice PAC ID
4789942335
Professional Enrollment ID
I20220913002065
Address ID
MN554092115MI4327XSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MAXINE MCGOWAN (MSN, PHD, FNP-C)

  • 6571 YARBROUGH DR

    FAIRBURN, GA 302134649

    Phone: (678) 343-1257

    Fax: (770) 306-8720

    Type: Mailing

  • Augustine Place, Fremont, Alameda County, California, 94536, United States

    REX, GA 302735822

    Phone: (678) 343-1257

    Fax: (770) 507-2352

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

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
I20070816000305INurse PractitionerNJTBD
I20100224000462INurse PractitionerGATBD
I20220913001967INurse PractitionerWITBD
I20220913002065INurse PractitionerMNTBD
I20220919003101INurse PractitionerTXTBD
I20221228000150INurse PractitionerMOTBD
I20230106002140INurse PractitionerPATBD
I20240528003472INurse PractitionerIATBD
I20250530001418INurse PractitionerNETBD
I20250530001632INurse PractitionerKSTBD
I20250530003343INurse PractitionerFLTBD
I20250603001343INurse PractitionerCTTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes836446$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes709264$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes267151$0
View full utilization report →

Insurance plans in this area (ZIP 30213)

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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: 4789942335View full group profile
NameSpecialtyState
Psychiatry, Nurse PractitionerSC
Nurse PractitionerME
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerMS
Nurse PractitionerAL
Nurse PractitionerWY
Hospitalist, Internal MedicineLA
Nurse PractitionerNJ
Family PracticeFL

Reviews

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Frequently asked questions

Can I cross-check MAXINE MCGOWAN (MSN, PHD, FNP-C) using NPI 1407907371?
NPI 1407907371 belongs to MAXINE MCGOWAN (MSN, PHD, FNP-C); compare other details if you need extra assurance.
Active or inactive — what applies to MAXINE MCGOWAN (MSN, PHD, FNP-C)?
You should see MAXINE MCGOWAN (MSN, PHD, FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MAXINE MCGOWAN (MSN, PHD, FNP-C)?
MAXINE MCGOWAN (MSN, PHD, FNP-C)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MAXINE MCGOWAN (MSN, PHD, FNP-C) located near Fairburn?
MAXINE MCGOWAN (MSN, PHD, FNP-C) currently maps to Fairburn, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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