DR. MAXINE OWUSU (M.D) – Family Medicine Physician, NPI 1972923258

DR. MAXINE OWUSU (M.D) is a healthcare provider. based in Jonesboro, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D. They hold a License No. 78170 (GA). The NPI Number for DR. MAXINE OWUSU (M.D) is 1972923258

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAXINE OWUSU (M.D)
NPI
1972923258
Phone
(404) 717-3014
Address
8180 Tara Blvd
Enumeration Date
24 April 2014
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
7065964000
Graduation Year
2014 (12 years ago)
PAC ID
8022384346
Group Practice PAC ID
3779497045
Professional Enrollment ID
I20171031002878
Address ID
GA319046878CO2122XEXPY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

Provider Addresses for DR. MAXINE OWUSU (M.D)

  • 8180 Tara Blvd

    Jonesboro, GA 302363175

    Phone: (404) 717-3014

    Type: Location

  • 300 Community Dr

    Manhasset, NY 110303816

    Phone: (516) 562-0100

    Type: Location

  • 601 S 8TH ST

    GRIFFIN, GA 302244213

    Phone: (770) 228-2721

    Type: Location

  • 911 LAKESIDE VILLAS DRIVE

    911

    HAMPTON, GA 30228

    Phone: (315) 395-7874

    Type: Mailing

  • 911 LAKESIDE VILLA DR # 911

    HAMPTON, GA 302286351

    Phone: (315) 395-7874

    Type: Mailing

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: 2017-10-31

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
I20171031002878IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making199198$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9188$0
99284Emergency department visit with moderate level of medical decision making6161$0
99291Critical care, first 30-74 minutes5050$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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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: 3779497045View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineWI
Emergency MedicineGA
Physician AssistantGA
Emergency MedicineAL
Emergency MedicineNC
Emergency MedicineGA
Emergency MedicineWI
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MAXINE OWUSU (M.D)?
DR. MAXINE OWUSU (M.D) — NPI 1972923258 — is the standard way to identify this listing.
Can I rely on DR. MAXINE OWUSU (M.D) being an active provider?
As of the registry snapshot, DR. MAXINE OWUSU (M.D) is marked active.
What healthcare role does DR. MAXINE OWUSU (M.D) hold?
Scheduling teams often label DR. MAXINE OWUSU (M.D) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MAXINE OWUSU (M.D) based?
DR. MAXINE OWUSU (M.D) is tied to Jonesboro, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about DR. MAXINE OWUSU (M.D) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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