Healthcare Provider Details

I. General information

NPI: 1245149616
Provider Name (Legal Business Name): MAXFIELD MEDICAL DIRECT PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 MATT HWY STE 103
CUMMING GA
30028-8611
US

IV. Provider business mailing address

5310 MATT HWY STE 103
CUMMING GA
30028-8611
US

V. Phone/Fax

Practice location:
  • Phone: 470-239-4877
  • Fax: 470-297-3208
Mailing address:
  • Phone: 470-239-4877
  • Fax: 470-297-3208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MORGAN GARRETT
Title or Position: CO-FOUNDER / MEDICAL DIRECTOR
Credential: DO
Phone: 772-342-0767