Mauldin Medical Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAULDIN MEDICAL ASSOCIATES

Practice address

3443 Pelham Rd
Suite 200
Greenville, SC 29615-4178

Phone

(864) 236-9555

Fax

(864) 234-9029

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Nakeia M Wharton

Title

Office Manager

Phone

(864) 236-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mauldin Medical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mauldin Medical Associates, PA

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1831172279
  NPD tax ID

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1588835243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-236-9555",
            "fax_number": "864-236-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 PELHAM RD",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154178",
            "telephone_number": "864-236-9555",
            "fax_number": "864-234-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULDIN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "NAKEIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-236-9555"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3769",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jay Mauch, DO
• Melissa M. Maughon, PA-C
• Emily Jean Mauhar, PA-C
• Michael Anthony Mauhar, MD
• Bryanna Mauk
• Mauldin Medical Associates, PA
• Samantha Grace Allen Mauldin, OTR/L
• Anney Wilson Maund, MA, BCBA
• Joseph Leo Maurer, M.D.
• Robert Richard Maurer Jr.

• Primary Care Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.