Ashley Grace Maietta

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

29298 Issued in SC

Practice address

207 Chartwell CT
Myrtle Beach, SC 29588-7273

Phone

(843) 333-2816

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dermaheal, LLCGroup PAC ID 2567732795, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Services of America Home Health - Coastal Home health agency, Myrtle Beach, SC, CCN 427025
• Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
• Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dermaheal, LLC

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1427598580
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of South Carolina LLC

  • Home Health Agency
  • Conway, SC
  • NPI 1316905573
  Care Compare affiliation
• Incare Home Health, Inc.

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1972551216
  Care Compare affiliation
• Total Care Home Health of South Carolina, LLC

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1821027962
  Care Compare affiliation

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1700610706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHARTWELL CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887273",
            "telephone_number": "843-333-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHARTWELL CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887273",
            "telephone_number": "843-333-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIETTA",
        "first_name": "ASHLEY",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "29298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia OB-GYN LLC of Myrtle Beach
• Devi Singh Mahadeo, M.D.
• Tiffany Mahaffey, FNP
• Yasser Mahmoud
• Karen L Mahood, D.O.
• Donna Michele Maisano, LISW-CP
• Sara Marie Major
• Matthew Malena, PT
• Olivia Anne Malich
• Walter N. Malloy, M.D.

• Gerontology Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.