Donald E. Mauney, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001408 Issued in GA

Practice address

299 N Broad St
Winder, GA 30680-2155

Phone

(770) 867-2120

NPI assigned

Apr 26, 2007

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1841410560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802155",
            "telephone_number": "770-867-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802155",
            "telephone_number": "770-867-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNEY",
        "first_name": "DONALD",
        "middle_name": "E.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "001408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822855513A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "001408",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark P. Benner, D.D.S., P.C. (Benner & Townsend Dentistry)
• Julie Baxter Marshall, DMD
• Mark Matson
• Matthew W. Ryan, DC PC (Stewart Clinic of Winder)
• Kimberly W Matthews
• Hannah J May, LPC
• Jessica Mayes, RBT
• Deshun McCluskey, PA-C
• Norman Hugh McCulloch Jr., M.D.
• Kathryn Lea McCusker, MD

• Medical Physician Assistant in Winder, GA
• Providers in Winder, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.