NPIMap

Individual provider Active NPI

Lisa Renee Maselli, MD

  • Obstetrics & Gynecology Physician
  • Murrells Inlet, SC
National Provider Identifier
1346212834
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21792 Issued in SC
Practice address
4017 Hwy 17 Bypass
Murrells Inlet, SC 29576-2674
Phone
(843) 651-6525
Fax
(843) 357-5035
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21792 SC Primary

Addresses

Primary practice location

4017 Hwy 17 Bypass
Murrells Inlet, SC 29576-2674

Mailing address

PO Box 3440
PO Box 3440
Murrells Inlet, SC 29576-2674
Phone (843) 651-6525

Other identifiers 2

IdentifierTypeStateIssuer
89066TJMedicaidNC
217928MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000571 SC Practitioner - Obstetrics/Gynecology 8426220229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JC Edwards School of Medicine, Marshall University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

606 Black River Rd
Suite 300
Georgetown, SC 29440-3304
Phone (843) 546-3132

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates LLC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Carolina OB-GYN LLC Obstetrics & Gynecology CurrentSince Aug 14, 2000 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients
Carolina OBGYN Obstetrics & Gynecology Past Accepting new patients
Waccamaw Community Hospital Past Accepting new patients

Locations

1007 N Fraser St
Georgetown, SC 29440
Phone (843) 527-4343

606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4017 Highway 17
Ste 100
Murrells Inlet, SC 29576
Phone (843) 651-6525

4017 Highway 17
Murrells Inlt, SC 29576
Phone (843) 651-6525

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: lisa.maselli@co1l.eclinicaldirectplus.com
  • Direct secure messaging: lmaselli444385@direct.musc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1346212834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3440",
            "address_2": "PO BOX 3440",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762674",
            "telephone_number": "843-651-6525",
            "fax_number": "843-357-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 HWY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762674",
            "telephone_number": "843-651-6525",
            "fax_number": "843-357-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066TJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217928",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.