Active NPI
Jayne Patrice Maynor, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lumberton, NC
National Provider Identifier
1881693992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 40036
- Practice address
- 2905 N Elm St
Lumberton, NC 28358-2982 - Phone
- (910) 738-8154
- Fax
- (910) 671-8818
- NPI assigned
- Jul 20, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40036 | NC | |
| Anesthesiology Physician | 207L00000X | 40036 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 40036 | NC | Primary |
Addresses
Primary practice location
2905 N Elm St
Lumberton, NC 28358-2982
Mailing address
2905 N Elm St
P O Box 2370
Lumberton, NC 28358-2982
Phone (910) 738-8154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N40036 | Medicaid | SC | |
| 5523B | Other | NC | BCBS/STATE |
| 895523B | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40036 | NC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1881693992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 N ELM ST",
"address_2": "P O BOX 2370",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582982",
"telephone_number": "910-738-8154",
"fax_number": "910-671-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 N ELM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582982",
"telephone_number": "910-738-8154",
"fax_number": "910-671-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNOR",
"first_name": "JAYNE",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "40036",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "40036",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "40036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N40036",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/STATE",
"identifier": "5523B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895523B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
- Mast Drug Co Inc
- Anna Leah Matteson, MS, RDN, LDN, CDE
- Austin Paul Matthews, D.P.M.
- Martha Evers Mauldin, M.ED.,CCC-SLP
- Audrey Richter Mayers, MA ED, LCMHC, NCC
- Darryl X McAllister, PHD, LCSW
- Yolanda McAllister, LCASA
- Dontay Shawmonick McArn, LCMHC
- Jayme Emil McArthur-Herder, MD
- Mack Ira McClain, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.