Dana Elaine Malloy, RN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4057 Issued in SC

Practice address

102 Summerwood Way
Aiken, SC 29803-7704

Phone

(803) 649-5300

Fax

(803) 649-0056

NPI assigned

Dec 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Dana E McCrary Former name

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

Certified Registered Nurse

State licenses

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 and National Provider Directory roles.

• Aiken Emergency Physicians

  • Primary Care Nurse Practitioner
  • Aiken, SC
  • NPI 1205622362
  NPD
• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1679719819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUMMERWOOD WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037704",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUMMERWOOD WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037704",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "DANA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "RN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "4057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582366418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MCCRARY",
            "middle_name": "E",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unknown Mahek
• Alina Lynn Mahoney, RN
• Major Medical Supply and Healthcare Services
• Nikki Susanne Major
• Russell Major
• Prakash Maniam, M.D.
• Monica Manigo-Johnson, D.O.
• Asifa Manzoor, MD
• Margaret'S Garden Adult Daycare LLC
• Christine Marino, ED.S.

• Family Nurse Practitioner in Aiken, SC
• Providers in Aiken, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.