Individual Healthcare Provider
Maxwell Clark Poling, PA-C
Provider's NPPES record last updated: September 18, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1871039727
- Primary Specialty
- Physician Assistant
- Practice Location
- Indialantic, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (Florida)
- PAT9109932
Practice Locations
Practice Location
420 5th Ave
Indialantic, Florida 32903-4280
Phone: (321) 312-1352
Additional Practice Location
1301 Plantation Island Dr S
Ste 106b
Saint Augustine, Florida 32080-3108
Phone: (904) 342-7769
Fax: (904) 342-7770
Additional Practice Location
2305 Vidina Dr Ste 102
Melbourne, Florida 32940-8066
Phone: (321) 441-8332
Fax: (321) 319-4931
Additional Practice Location
6545 N Wickham Rd Ste 102
Melbourne, Florida 32940-2042
Phone: (321) 395-3298
Fax: (321) 241-1161
Additional Practice Location
6559 N Wickham Rd Ste C-105
Melbourne, Florida 32940-2052
Phone: (321) 395-3298
Fax: (321) 241-1161
Additional Practice Location
6545 N Wickham Rd Ste 101
Melbourne, Florida 32940-2042
Phone: (321) 395-3298
Fax: (321) 241-1161
Record Information
- Enumeration Date
- January 17, 2017
- Provider's NPPES Record Last Updated
- September 18, 2025
- Certification Date
- September 18, 2025
- NPISignal NPPES Dataset
- August 2026
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