Individual provider Active NPI

Ashley Simone Maybin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Conway, SC
National Provider Identifier
1942696174
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
84816 Issued in SC
Practice address
8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945
Phone
(843) 347-8041
Fax
(843) 347-8042
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 84816 SC Primary

Addresses

Primary practice location

8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945

Mailing address

300 Singleton Ridge Road
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 502-5845

Other identifiers 1

IdentifierTypeStateIssuer
D86830OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190809000496 MD Practitioner - Physical Medicine and Rehabilitation 8426352808 Reassigns benefits to 2 organizations
I20201006000034 SC Practitioner - Physical Medicine and Rehabilitation 8426352808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 300
Conway, SC 29526-8995
Phone (843) 347-8041

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112

394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050

6010 Hwy 707
Myrtle Beach, SC 29588-7321

8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939

8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Nov 1, 2019 Accepting new patients
Conway Hospital, Inc. CurrentSince Sep 14, 2020 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2019 Accepting new patients
Conway Hospital, Inc. Physical Medicine & Rehabilitation Current Accepting new patients
Conway Hospital, Inc. Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Conway Hospital, Inc. Internal Medicine Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545

6420 Rockledge Dr
Ste 2200
Bethesda, MD 20817
Phone (301) 530-3220

9910 Franklin Square Dr
Ste 2110
Nottingham, MD 21236
Phone (410) 933-5412

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526
Phone (843) 347-8041

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

2701 Church St
Ste A
Conway, SC 29526
Phone (843) 347-8041

Interoperability endpoints

  • Direct secure messaging: simone.maybin@conwaymedicalcenter.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1942696174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 MYRTLE TRACE DR STE 200",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-8041",
            "fax_number": "843-347-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-502-5845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBIN",
        "first_name": "ASHLEY",
        "middle_name": "SIMONE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "84816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D86830",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.