Individual provider Active NPI

Mary Hearon, CNA

  • Nursing Care Agency
  • Lamar, SC
National Provider Identifier
1104707629
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9983451 Issued in SC
Practice address
137 River Rd
Lamar, SC 29069-9264
Phone
(843) 467-6030
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 9983451 SC Primary

Addresses

Primary practice location

137 River Rd
Lamar, SC 29069-9264

Mailing address

137 River Rd
Lamar, SC 29069-9264
Phone (843) 467-6030

Other names 1

  • Mary Caldwell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9983451SCMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1104707629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 RIVER RD",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699264",
            "telephone_number": "843-467-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 RIVER RD",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699264",
            "telephone_number": "843-467-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARON",
        "first_name": "MARY",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "9983451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CALDWELL",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lamar, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.