NPIMap

Individual provider Active NPI

John Vincent Maylock, M.D.

  • Family Medicine Physician
  • Greenwood, SC
National Provider Identifier
1366413833
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81882 Issued in SC
Practice address
1228 Highway 72 W
Greenwood, SC 29649-1816
Phone
(864) 943-0549
Fax
(864) 227-2067
NPI assigned
Jan 31, 2006
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 064862 GA
Family Medicine Physician 207Q00000X 81882 SC Primary

Addresses

Primary practice location

1228 Highway 72 W
Greenwood, SC 29649-1816

Mailing address

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

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
I20190206000017 SC Practitioner - Family Practice 5991834111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1606 B Main St
Conway, SC 29526-3572
Phone (843) 248-4700

1608 Main St
Conway, SC 29526-3572
Phone (843) 248-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. Current Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

1708 Oak St
Conway, SC 29526
Phone (843) 488-6363

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

Interoperability endpoints

  • Direct secure messaging: john.maylock@hcposc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1366413833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "31620",
            "telephone_number": "229-896-8000",
            "fax_number": "229-896-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HIGHWAY 72 W",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491816",
            "telephone_number": "864-943-0549",
            "fax_number": "864-227-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLOCK",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "064862",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "81882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.