Individual provider Active NPI

Paul Mazzeo, M.D.

  • Neurology Physician
  • Port Royal, SC
National Provider Identifier
1568432185
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17802 Issued in SC
Practice address
1833 N. Paris Avenue
Port Royal, SC 29935-2029
Phone
(843) 522-1420
Fax
(843) 522-1460
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17802 SC Primary

Addresses

Primary practice location

1833 N. Paris Avenue
Port Royal, SC 29935-2029

Mailing address

1833 N. Paris Avenue
Port Royal, SC 29935-2029
Phone (843) 522-1420

Other identifiers 1

IdentifierTypeStateIssuer
178024MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000254 SC Practitioner - NeurologyPractitioner - Nephrology 1052218807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Neurology, P.a.Group PAC ID 7810894664, 3 clinicians

Practice addresses (Care Compare)

1833 N Paris Ave
Port Royal, SC 29935-2029
Phone (843) 522-1420

Hospital & facility affiliations

  • Enhabit Home Health Bluffton Home health agency, Bluffton, SC, CCN 427136
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as individual
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17802SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurology, P.a. Neurology CurrentSince Jul 1, 1995 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

1833 N Paris Ave
Port Royal, SC 29935
Phone (843) 522-1420

Interoperability endpoints

  • Direct secure messaging: paul.mazzeo@cnpa.ssdirect.aprima.com
  • Direct secure messaging: paulmazzeo@paulmazzeo.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1568432185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 N. PARIS AVENUE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-522-1420",
            "fax_number": "843-522-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 N. PARIS AVENUE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-522-1420",
            "fax_number": "843-522-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZEO",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "17802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178024",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.