DR. WALISA K MAYNARD (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1609906973

Geriatric Medicine (Internal Medicine) Physician

DR. WALISA K MAYNARD (M.D.) is a healthcare provider. based in Austell, Georgia. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 50658 (GA). The NPI Number for DR. WALISA K MAYNARD (M.D.) is 1609906973

Main info

Female

27 Years Of Experience

Accepts Medicare Assignment

Name

DR. WALISA K MAYNARD (M.D.)

NPI

1609906973

Phone

(770) 732-6798

Address

4040 HOSPITAL WEST DR

Enumeration Date

6 March 2007

Last Update Date

6 June 2024

Doctor Profile

Medical School Name

HOWARD UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

2293121000

Graduation Year

1999 (27 years ago)

PAC ID

2961537394

Group Practice PAC ID

4486559549

Professional Enrollment ID

I20100324000136

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience67

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. WALISA K MAYNARD (M.D.)

4040 HOSPITAL WEST DR
AUSTELL, GA 301068117
Phone: (770) 732-6798
Type: Location
2101 ELM ST N
FARGO, ND 581022417
Phone: (701) 239-3700
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.

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Medicare Enrollment & Revalidation

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-16

PECOS data refreshed: 2026-05-27

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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 30106)

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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: 4486559549View full group profile

Name	Specialty	State
DR. ANDREW GEORGE MISULIA (MD)	-	GA
DANIEL ADAM JONES (M.D.)	Radiation Oncology	GA
DANA ALLEN JOHNSON (M.D.)	Medical Oncology	KY
ANUP KUMAR LAHIRY (MD)	Medical Oncology	GA
JITENDRA G GANDHI (M.D.)	H E M A T O L O G Y/ O N C O L O G Y	TN
DR. FERDOUS BARLASKAR (M.D., PH.D.)	Hospitalist, Hematology/Oncology, Internal Medicine	IL
DR. ALFRED LEE WOODARD (MD)	Emergency Medicine	GA
DR. JAMES E BLACK (MD)	Family Practice, Emergency Medicine	GA
NILOFER A AHSAN (MD)	Internal Medicine, Rheumatology	GA
MR. DOUGLASS RAYMOND KURTZ (PA-C)	Physician Assistant	GA

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Frequently asked questions

What NPI should I save for DR. WALISA K MAYNARD (M.D.)?

Save NPI 1609906973 if you need a stable reference for DR. WALISA K MAYNARD (M.D.).

Is DR. WALISA K MAYNARD (M.D.)'s NPI currently valid?

The extract we use shows DR. WALISA K MAYNARD (M.D.) as active.

Can you summarize DR. WALISA K MAYNARD (M.D.)'s specialty in plain language?

Clinically, the directory lists DR. WALISA K MAYNARD (M.D.) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.

Where is DR. WALISA K MAYNARD (M.D.)'s primary listing?

We display Austell, Georgia because that is what the record indicates for DR. WALISA K MAYNARD (M.D.).

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.