Mae Jean Englee, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27455 Issued in SC

Practice address

1 Hickman Street
Agape Physicians Care
Graniteville, SC 29829-2955

Phone

(803) 663-9224

Fax

(803) 663-8893

NPI assigned

May 20, 2006

Last updated

Oct 30, 2015By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17293/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1629022785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HICKMAN ST",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298292955",
            "telephone_number": "803-663-9224",
            "fax_number": "803-663-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HICKMAN STREET",
            "address_2": "AGAPE PHYSICIANS CARE",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298292955",
            "telephone_number": "803-663-9224",
            "fax_number": "803-663-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLEE",
        "first_name": "MAE JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274553",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Mae Byrd
• Marie Lorraine Alquisalas Cesa
• Tiffany Renee Cheatham, RN
• Christy Sikes, LLC.
• Discovering Beautiful Minds, LLC
• Kelsey Rae Fluharty, PHARMD
• Chloe Glusman, FNP
• Graniteville Family Medical Center LLC
• Mendi D. Harting, RN
• Terrie Lavern Hazel, DNP

• Family Medicine Physician in Graniteville, SC
• Providers in Graniteville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.