PRISCILLA MAXWELL NPI 1881460509

NPI Information

  • NPI: 1881460509
  • Provider Name: PRISCILLA MAXWELL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 LANIER AVE W STE 200
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (470) 516-4399

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NPI Details

Priscilla Maxwell is a psychiatric/mental health nurse practitioner in Fayetteville, GA with 3 years of experience. Priscilla Maxwell NPI is 1881460509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 LANIER AVE W STE 200
FAYETTEVILLE, GA
ZIP 30214-443
Phone: (470) 516-4399
Fax: (470) 516-4399

The NPI 1881460509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2023 and was last updated on 10/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN288759GEORGIANo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentRN288759GEORGIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthRN288759GEORGIAYes
4163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN288759GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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