Look up the most recent NPI and PECOS records

Jamison Maxwell

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

PECOS Enrollment

Based on the most recent information from CMS, provider Jamison Maxwell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1922629369
Provider Type
Individual
Full Name
Maxwell, Jamison
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/27/2020
Last Updated
6/16/2023

Contact Information

Practice Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0116038409 Virginia

Jamison Maxwell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Uwamaliya, Olive

Bazemore, Andrew William

Tao, Jeannette

Obrien, Lynn Murphy

Bryant, Megan

Jiongo, Allison Marie

Sisbarro, Owen Francis

Murray, David Tyler

Lasisi, Oluwatobi Ganiu

Davis, Erin Mae