MAULDIN MEDICAL ASSOCIATES, PA (NPI# 1831172279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831172279 |
| Entity Type | Organization |
| Organization Name | MAULDIN MEDICAL ASSOCIATES, PA |
| Practice Address |
545 W Butler Rd Greenville SC 29607-4833 |
| Practice Telephone | 8642369555 |
| Practice Fax Number | 8642369551 |
| Mailing Telephone | 8642369555 |
| Mailing Fax Number | 8642369551 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. NAVEEN REDDY BETHI (DOCTOR) |
| Authorized Official Telephone | 8642369555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
21344 | SC | Ambulatory Health Care Facilities |
| Street Address |
545 W BUTLER RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138562 | Kelsie Elizabeth Fowler | Nurse Practitioner | 545 W Butler Rd, Greenville, SC 29607-4833 | 2019-08-07 |
| 1700347374 | Heather Lynn Lejeune | Nurse Practitioner | 545 W Butler Rd, Greenville, SC 29607-4833 | 2019-03-27 |
| 1841742889 | Greenville Medical Associates, Pa | Family Medicine | 545 W Butler Rd, Greenville, SC 29607-4833 | 2016-10-25 |
| 1215381108 | Tara Shajuan Miles | Nurse Practitioner | 545 W Butler Rd, Greenville, SC 29607-4833 | 2016-04-18 |
| 1013398031 | Ngan Kim Moran | Nurse Practitioner | 545 W Butler Rd, Greenville, SC 29607-4833 | 2015-06-16 |
| 1962802124 | Ana Katrina Endaya | Nurse Practitioner | 545 W Butler Rd, Greenville, SC 29607-4833 | 2014-08-25 |
| 1316251101 | Greenville Medical Associates, Pa | Family Medicine | 545 W Butler Rd, Greenville, SC 29607-4833 | 2010-08-04 |
| 1548221922 | Ronald Gardner | Radiology | 545 W Butler Rd, Greenville, SC 29607-4833 | 2006-03-28 |
| 1407817844 | Raju Patnam | Family Medicine | 545 W Butler Rd, Greenville, SC 29607-4833 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477979672 | Rmcca Clinic A, LLC | Clinic/Center | 300 N College Street, Greenville, AL 36037 | 2014-03-12 |
| 1144669375 | Delta Wellness Clinic for Families LLC | Clinic/Center | 1585 S Main St, Greenville, MS 38701-7008 | 2013-06-20 |
| 1326353798 | Blaylock Medical Clinic Pa | Clinic/Center | 130 E Walker St, Greenville, MS 38701-4766 | 2010-08-10 |
| 1871826743 | Ambulatory Medicine Associates, LLC | Clinic/Center | 532 Sulphur Springs Rd, Greenville, SC 29617-6206 | 2009-09-10 |
| 1376798546 | Greenville Specialty Clinic | Clinic/Center | 1508 Hospital St, Greenville, MS 38703-3219 | 2008-12-01 |
| 1588835243 | Mauldin Medical Associates | Clinic/Center | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2008-03-20 |
| 1679171995 | New Hope Medical Primary & Urgent Care Clinic, LLC | Clinic/Center | 585 Tennessee Gas Rd, Greenville, MS 38701-8143 | 2020-10-09 |
| 1417481474 | The Downtown Family Clinic, LLC | Clinic/Center | 345 Washington Ave, Greenville, MS 38701-3615 | 2017-04-17 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| 1124481791 | Family Care Clinic, Pllc | Clinic/Center | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2016-04-01 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on MAULDIN MEDICAL ASSOCIATES, PA.
| 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.