Individual provider Active NPI

Claudia Mauldin, PA

  • Physician Assistant
  • Fort Mill, SC
National Provider Identifier
1437029055
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MPA.6137 Issued in SC
Practice address
485 Tom Hall St Ste 101
Fort Mill, SC 29715-2353
Phone
(803) 228-7972
NPI assigned
Nov 8, 2025
Last updated
Nov 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MPA.6137 SC Primary

Addresses

Primary practice location

485 Tom Hall St Ste 101
Fort Mill, SC 29715-2353

Mailing address

485 Tom Hall St Ste 101
Fort Mill, SC 29715-2353

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251211000173 SC Practitioner - Physician Assistant 0345734935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

485 Tom Hall St
Suite 101
Fort Mill, SC 29715-2353
Phone (740) 566-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6137SCMDProfessional Counselor
MPA.6137SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oakview Dermatology CurrentSince Nov 21, 2025 Accepting new patients
Oakview Dermatology PastSince Nov 10, 2019 Accepting new patients

Locations

2111 E State St
Athens, OH 45701
Phone (740) 300-1746

485 Tom Hall St
Ste 101
Fort Mill, SC 29715
Phone (803) 228-7972

937 Riverwalk Pkwy
Ste 203
Rock Hill, SC 29730
Phone (740) 300-1746

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1437029055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 TOM HALL ST STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TOM HALL ST STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152353",
            "telephone_number": "803-228-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "CLAUDIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.