Individual provider Active NPI

Georgina D Muth-Maurelli, APN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1861729485
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.27914 Issued in SC
Practice address
Musc & SCDC Medical Annex @ Kirkland Correctional Facil
4344 Broad River Road
Columbia, SC 29210
Phone
(908) 675-6290
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.27914 SC Primary
Nurse Practitioner 363L00000X 26NJ00259000 NJ

Addresses

Primary practice location

Musc & SCDC Medical Annex @ Kirkland Correctional Facil
4344 Broad River Road
Columbia, SC 29210

Mailing address

PO Box 23321
New York, NY 10087-4321
Phone (908) 675-6290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110131000133 NJ Practitioner - Nurse Practitioner 3577742048 Reassigns benefits to 1 organization
I20241203002088 SC Practitioner - Nurse Practitioner 3577742048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.27914SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jun 17, 2018 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Sep 14, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 17, 2018 Accepting new patients
Musc Community Physicians CurrentSince Sep 14, 2024 Accepting new patients
Shore Cardiology Consultants LLC PastSince Jul 15, 2004 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

780 Route 37 W
Ste 310
Toms River, NJ 08755
Phone (732) 240-0599

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1655 Brabham Ave
Ste 220
Columbia, SC 29204
Phone (803) 254-5038

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1175 Cook Rd
Ste 230
Orangeburg, SC 29118
Phone (803) 395-3844

Interoperability endpoints

  • Direct secure messaging: gina.muthmaurelli.p1@direct.scdc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEBAA
  • Direct secure messaging: gin.muthmaurelli.p1@direct.scdc.nextgenshare.com
  • Direct secure messaging: gina.muthmaurelli.d1.p1@direct.scdc.nextgenshare.com
  • Direct secure messaging: gmuthmaurelli451336@direct.musc.edu

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1861729485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321",
            "telephone_number": "908-675-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUSC & SCDC MEDICAL ANNEX @ KIRKLAND CORRECTIONAL FACIL",
            "address_2": "4344 BROAD RIVER ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "908-675-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH-MAURELLI",
        "first_name": "GEORGINA",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.27914",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00259000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "MUSC & SCDC Medical Annex @ Kirkland Correctional Facil",
            "address_2": "4344 Broad River Road",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.