Active NPI
Katlyn Olivia Mauney, NP-C
- Primary Care Nurse Practitioner
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5012399
- Practice address
- 711 N Dekalb St
Shelby, NC 28150-3911 - Phone
- (704) 482-1482
- NPI assigned
- Jul 11, 2018
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22042 | SC | |
| Primary Care Nurse Practitioner | 363LP2300X | 5012399 | NC | Primary |
Addresses
Primary practice location
711 N Dekalb St
Shelby, NC 28150-3911
Mailing address
121 Clinton St
Shelby, NC 28152-8196
Phone (704) 472-6073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 487-3131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22042 | SC | MD | Family Nurse Practitioner |
| 5012399 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Medical Associates, PA | Current | Accepting new patients | |
| Carolinas Emergency Physicians, P.a. | Current | Accepting new patients | |
| Carolinas Emergency Physicians, P.a. | Current | Accepting new patients | |
| Village Hospital | Current | Accepting new patients | |
| App of South Carolina Ed PLLC | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Shelby Medical Associates, P.a. | Past | Accepting new patients |
Locations
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
711 N DeKalb St
Shelby, NC 28150
Phone (704) 482-1482
1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- kmauney247043@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Kings Mountain, NC
- NPI 1285952671
-
- Adolescent Medicine (Internal Medicine) Physician
- Shelby, NC
- NPI 1104819754
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
dba Medical Group of the Carolinas - Emergency Medicine - Pelham
- Emergency Medicine Physician
- Greer, SC
- NPI 1619133568
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Emergency Medicine Physician
- Shelby, NC
- NPI 1316264195
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
dba Village Maternity Services
- Critical Care Neonatal Nurse Practitioner
- Greer, SC
- NPI 1326288051
-
- Durable Medical Equipment & Medical Supplies
- Shelby, NC
- NPI 1902041007
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1760978969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CLINTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281528196",
"telephone_number": "704-472-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503911",
"telephone_number": "704-482-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUNEY",
"first_name": "KATLYN",
"middle_name": "OLIVIA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22042",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5012399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.