● Active Type 1 · Individual

Maxine McGowan, MSN, PHD, FNP-C

Nurse Practitioner·Rex, GA· NPI 1407907371 · Enumerated 2007 · 19 years on NPI

McGowan is 1 of 2 nurse practitioner providers in Rex and 1 of 383 in Georgia.

NPI age

19 years

Enumerated 2007-01-16

Primary specialty

Nurse Practitioner

Plus 1 subspecialty

Licensed in

GA, NJ

2 states

Status

Active

No deactivations on record

Last NPPES update

2013-07-08

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 383 active nurse practitioner providers in Georgia.

NPI age

19 years

↑ 14 yr above median (5 yr)

State licenses

2 states

Top 93% — 6% of peers are multi-state

Subspecialties

In the 31% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES

2007 2026

Where they practice

Practice location

3866 Augustine Pl

Rex, GA 302735822

📞 6783431257fax 7705072352

Mailing address

6571 Yarbrough Dr

Fairburn, GA 302134649

📞 6783431257fax 7703068720

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Nurse Practitioner

Nurse Practitioner Primary

Definition to come...

GA license #RN201165 taxonomy 363LP2300X
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...

NJ license #26NR07760600 taxonomy 363L00000X

Identifiers

Type	Value	Notes
05 (NJ)	8482306

Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.