Maxx Life Health Care LLC
NPI 1487362919ActiveOrganization· Family Medicine· McDonough, GA
Family Medicine in McDonough, Georgia, registered in NPPES in November 2022. The authorized official on file is Maria Waller, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487362919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2022 |
| Last updated in NPPES | Dec 22, 2023 |
| Certified by provider | Dec 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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