ANDREA MARIE MAXWELL – Nurse Practitioner, NPI 1508043191

ANDREA MARIE MAXWELL is a healthcare provider. based in Carrollton, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN161634 (GA). The NPI Number for ANDREA MARIE MAXWELL is 1508043191

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA MARIE MAXWELL
NPI
1508043191
Phone
Not provided
Address
150 CLINIC AVE
Enumeration Date
25 January 2008
Last Update Date
25 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
4486727146
Group Practice PAC ID
7810989183
Professional Enrollment ID
I20080715000053
Address ID
GA301174402CA150XXAVEX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for ANDREA MARIE MAXWELL

  • 150, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States

    SUITE 101

    CARROLLTON, GA 301174401

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($173).

Total Amount

$484

General + Research + Ownership

Payments

9

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2008-07-15

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
I20080715000053INurse PractitionerGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes409268$0
J1040Injection, methylprednisolone acetate, 80 mg272220$0
J1020Injection, methylprednisolone acetate, 20 mg155131$0
99214Established patient office or other outpatient visit, 30-39 minutes137127$0
99204New patient office or other outpatient visit, 45-59 minutes108108$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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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: 7810989183View full group profile
NameSpecialtyState
Nurse PractitionerGA
Orthopedic SurgeryPA
Orthopedic SurgeryMS
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA
Orthopedic SurgeryGA
Orthopedic SurgeryMI
Orthopedic SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I cross-check ANDREA MARIE MAXWELL using NPI 1508043191?
NPI 1508043191 belongs to ANDREA MARIE MAXWELL; compare other details if you need extra assurance.
Is ANDREA MARIE MAXWELL shown as active in public data?
Registry records indicate ANDREA MARIE MAXWELL maintains an active NPI.
What expertise is attributed to ANDREA MARIE MAXWELL?
ANDREA MARIE MAXWELL's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANDREA MARIE MAXWELL located near Carrollton?
ANDREA MARIE MAXWELL currently maps to Carrollton, Georgia in this extract.
Does ANDREA MARIE MAXWELL accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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