Deanna Mauldin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN050223 Issued in GA

Practice address

133 Forsyth St Ste 3
Barnesville, GA 30204-1458

Phone

(770) 358-8632

Fax

(770) 358-5200

NPI assigned

Jun 12, 2019

Last updated

Jun 12, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1720647704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FORSYTH ST STE 3",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041458",
            "telephone_number": "770-358-8632",
            "fax_number": "770-358-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FORSYTH ST STE 3",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041458",
            "telephone_number": "770-358-8632",
            "fax_number": "770-358-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN050223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lefebvre
• Lighthouse Health Care Services LLC
• Marilyn Reynolds Lipper, L.C.S.W.
• Laura Mallory, LPC
• Haley M Manley, M.D.
• Sabrina Angelica McClinton, FNP
• McIntosh Trail Community Service Board (Lamar County Counseling Center)
• McIntosh Trail CSB
• McIntosh Trail CSB
• Medical Supplies on Main Street

• Licensed Practical Nurse in Barnesville, GA
• Providers in Barnesville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.