Michelle Diane Mauldin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN145374 Issued in GA

Practice address

2023 Grayson Hwy Ste 201
Grayson, GA 30017-5047

Phone

(678) 359-2212

NPI assigned

Jul 21, 2025

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1821980160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ORLEANS CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171071",
            "telephone_number": "404-545-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 GRAYSON HWY STE 201",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300175047",
            "telephone_number": "678-359-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "MICHELLE",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan L Lunday, D.C.
• Adelle Lytle
• Tina Lyttle
• Stephanie Mathes, DC
• Rae Lynne Mattis, LCSW
• Sheri Maxwell, P.T.
• Traci McCaffery
• Victoria McGhee
• Jennifer McKay
• Haley Mercado, PT, DPT

• Family Nurse Practitioner in Grayson, GA
• Providers in Grayson, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.