JULIANNA MAYNOR (NPI# 1093049470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093049470 |
| Entity Type | Individual |
| Full Name | JULIANNA MAYNOR |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2845 E Highway 76 Suite 5 Mullins SC 29574-6037 |
| Practice Telephone | 8434312650 |
| Practice Fax Number | 8434312647 |
| Mailing Telephone | 8434312650 |
| Mailing Fax Number | 8434312647 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2012-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3872 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0619 | 05 | |
| SC | MEDICAID GROUP | GP5462 | 01 |
| SC | RHC 121 | 05 |
| Street Address |
2845 E HIGHWAY 76 SUITE 5 |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457308470 | James R Carroll Md Pa | Specialist | 2845 E Highway 76, Suite 2, Mullins, SC 29574-6037 | 2006-05-27 |
| 1144692658 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2845 E Highway 76, Mullins, SC 29574-6037 | 2015-10-23 |
| 1699152744 | Janelle K Harford | Obstetrics & Gynecology | 2845 E Highway 76, Mullins, SC 29574-6037 | 2015-04-28 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1346561602 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2010-06-21 |
| 1588985857 | Marion Physician Services LLC | Internal Medicine | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2010-06-21 |
| 1346561263 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2010-06-15 |
| 1518166065 | Jun Koike | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-07-15 |
| 1770701153 | Marion Regional Healthcare System | Orthopaedic Surgery | 2845 E Highway 76, Suite 2, Mullins, SC 29574 | 2007-04-23 |
| 1316072382 | Stephen P Regec | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
| 1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
| 1962839696 | Tracey Christine Wood | Nurse Practitioner | 140 Bandage Ct, Murrells Inlet, SC 29576-5103 | 2013-09-26 |
| 1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
| 1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
| 1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.