Maurian Jenkins, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

19876 Issued in SC

Practice address

202 Wall St
Piedmont, SC 29673-6754

Phone

(864) 295-8714

Fax

(864) 295-8764

NPI assigned

Jan 25, 2016

Last updated

Apr 19, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD
• Providence Care LLC

  • Community Based Hospice Care Agency
  • Rock Hill, SC
  • NPI 1891005104
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1376900126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-295-8714",
            "fax_number": "864-295-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-295-8714",
            "fax_number": "864-295-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MAURIAN",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "19876",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "19876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hosanna Health & Rehab of Piedmont, LLC
• Hiliary Seay Humphries, MD
• Quinn Douglas Hunt, MD
• Issaqueena Pediatric Dentistry P.a.
• Jacobus Orthopedics and Interventional Pain Management LLC
• W. Clark Jernigan, M.D.
• Crescent Shubrada Jeter
• Gregory Allen Johnson, MD
• Erin Jones, RD
• Michelle Jones

• Gerontology Nurse Practitioner in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.