NPIMap

Organization Active NPI

Mauldin Medical Associates, PA

  • Primary Care Clinic/Center
  • Greenville, SC
National Provider Identifier
1831172279
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
21344 Issued in SC
Legal business name
MAULDIN MEDICAL ASSOCIATES, PA
Practice address
545 W Butler Rd
Greenville, SC 29607-4833
Phone
(864) 236-9555
Fax
(864) 236-9551
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Naveen Reddy Bethi, M.D.NPI 1952330011
Title
Doctor
Phone
(864) 236-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 21344 SC Primary

Addresses

Primary practice location

545 W Butler Rd
Greenville, SC 29607-4833

Mailing address

545 W Butler Rd
Greenville, SC 29607-4833
Phone (864) 236-9555

National Provider Directory

National Provider Directory
Tax ID family
Mauldin Medical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1831172279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-236-9555",
            "fax_number": "864-236-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-236-9555",
            "fax_number": "864-236-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULDIN MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BETHI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-236-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.