NPIMap

Individual provider Active NPI

Johanna Melodie Maggio, DNP, AAHIVS

  • Adult Health Nurse Practitioner
  • Murrells Inlet, SC
National Provider Identifier
1053729616
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
22360 Issued in SC
Practice address
3583 Highway 17
Murrells Inlet, SC 29576-5002
Phone
(609) 287-9730
NPI assigned
Jul 28, 2014
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F306952-1 NY
Adult Health Nurse Practitioner 363LA2200X 22360 SC Primary

Addresses

Primary practice location

3583 Highway 17
Murrells Inlet, SC 29576-5002

Mailing address

517 Old Field Rd
Murrells Inlet, SC 29576-7748
Phone (609) 287-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150421001638 NY Practitioner - Nurse Practitioner 5799003836 Reassigns benefits to 1 organization
I20190904003185 SC Practitioner - Nurse Practitioner 5799003836 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careteam Plus IncGroup PAC ID 2961678289, 7 clinicians

Practice addresses (Care Compare)

100 Professional Park Dr
Conway, SC 29526-9260
Phone (843) 234-0005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306952-1NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Urgent Care Murrell's Inlet LLC CurrentSince Jul 1, 2019 Accepting new patients
Careteam Plus, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Medicos, P.a. CurrentSince Jul 15, 2024 Accepting new patients
Southern Comprehensive and Behavioral Health Associates LLC CurrentSince Jul 1, 2019 Accepting new patients
Careteam Plus, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Careteam Plus, Inc. Past Accepting new patients

Locations

100 Professional Park Dr
Conway, SC 29526
Phone (843) 234-0005

3583 Highway 17
Murrells Inlt, SC 29576
Phone (215) 475-2131

506 2nd Ave N
North Myrtle Beach, SC 29582
Phone (843) 516-2024

239 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 234-0005

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: johanna.maggio.1@19266.direct.athenahealth.com

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1053729616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 OLD FIELD RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767748",
            "telephone_number": "609-287-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765002",
            "telephone_number": "609-287-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "JOHANNA",
        "middle_name": "MELODIE",
        "credential": "DNP, AAHIVS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F306952-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "22360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.