P Praxis·MD
● 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
1
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

  • 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

TypeValueNotes
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

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

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