Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malcolm T Maxwell, PA-C

Individual provider Physician Assistant · NPI 1033782925

Malcolm T Maxwell, PA-C is a Physician Assistant in St George, Utah. Graduated from University of Tennessee, Hsc, College of Medicine in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
UT
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2825 E Mall Dr
St George, UT 84790-1954
Phone: (435) 628-9393
Fax: (435) 628-9382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Falcon Ridge Pkwy Ste 4000a, Mesquite, NV 89027-8877 — (435) 628-9393

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10868968-1206 (UT)

Record details

NPI number1033782925
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1055 N 500 W, Att Credentialing, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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