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

Priscilla Maxwell

Individual provider Registered Nurse · NPI 1881460509

Priscilla Maxwell is a Nurse Practitioner in Fayetteville, Georgia. Qualified in 2023, 3 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone: (470) 516-4399
Fax: (470) 516-4399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN288759 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN288759 (GA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN288759 (GA)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence RN288759 (GA)

Record details

NPI number1881460509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address320 Lanier Ave W Ste 200, Fayetteville, GA 30214-7443

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fayetteville