Mazie Elizabeth Graham, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R26610 Issued in SC

Practice address

2317 Prince St
Georgetown, SC 29440-2925

Phone

(843) 240-2061

Fax

(843) 527-4838

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Ny's Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Georgetown, SC
  • NPI 1700406998
  Authorized official Same address or phone
• Oasis Residential Home

  • Respite Care
  • Georgetown, SC
  • NPI 1881892651
  Authorized official Same address or phone

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1346588795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402925",
            "telephone_number": "843-240-2061",
            "fax_number": "843-527-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402925",
            "telephone_number": "843-240-2061",
            "fax_number": "843-527-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MAZIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "R26610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Rehabilitation Foundation
• Ashden Gobbett
• Stephen D Goerz, MD
• William Graham Goggans
• Cathy Gonzales, R.PH.
• Victorius Vandella Graham
• Marica Green, FNP
• Linda G Greene, CACII, NCAC II
• Benjamin Greenwood, MD
• Brian Joseph Griggs, NP

• Case Management Registered Nurse in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Case Management Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.