Individual provider Active NPI

Marlena Mattingly Masavage, M.D.

  • Obstetrics & Gynecology Physician
  • Beaufort, SC
National Provider Identifier
1023304847
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
38179 Issued in SC
Practice address
Beaufort Memorial Obstetrics & Gynecology Specialists
989 Ribaut Rd., Ste 210
Beaufort, SC 29902-5472
Phone
(843) 522-7820
Fax
(843) 522-7821
NPI assigned
Jun 20, 2011
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 38179 SC Primary
Obstetrics & Gynecology Physician 207V00000X 11015972A IN

Addresses

Primary practice location

Beaufort Memorial Obstetrics & Gynecology Specialists
989 Ribaut Rd., Ste 210
Beaufort, SC 29902-5472

Mailing address

955 Ribaut Rd
Bmac Credentialing Coordinator
Beaufort, SC 29902-5441
Phone (843) 522-5674

Other identifiers 1

IdentifierTypeStateIssuer
38179OtherSCSTATE MEDICAL LICENSE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150902002523 SC Practitioner - Obstetrics/Gynecology 0244479921 Reassigns benefits to 1 organization
I20260129003267 KY Practitioner - Obstetrics/Gynecology 0244479921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (270) 926-3700

989 Ribaut Rd
Suite 210
Beaufort, SC 29902-5481
Phone (843) 522-7820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38179SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2015 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Jan 21, 2026 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 21, 2026 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2015 Accepting new patients
Beaufort County Memorial Hospital Obstetrics & Gynecology Past Accepting new patients
Owensboro Health Inc Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Owensboro Health Medical Group, Inc Past Accepting new patients

Locations

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 688-1670

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

989 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-7820

122 Okatie Center Blvd N
Ste 320
Okatie, SC 29909
Phone (843) 522-7820

1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228

Interoperability endpoints

  • Direct secure messaging: marlena.mattingly.1@16436.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1023304847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING COORDINATOR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS",
            "address_2": "989 RIBAUT RD., STE 210",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025472",
            "telephone_number": "843-522-7820",
            "fax_number": "843-522-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAVAGE",
        "first_name": "MARLENA",
        "middle_name": "MATTINGLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "38179",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "11015972A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE BOARD",
            "identifier": "38179",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.