Michael Josiah Maughon Jr. (NPI# 1629003751, PAC ID# 0446428742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1629003751 |
| PAC ID by PECOS | 0446428742 |
| Professional Enrollment ID | I20160906002060 |
| Full Name | Michael Josiah Maughon Jr. |
| Organization Legal Name | SELF MEDICAL GROUP |
| Address |
102 Gregor Mendel Cir Greenwood SC 29646-2315 |
| Phone Number | 8642292663 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6002953916 |
| Number of Group Practice Members | 274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420071 | SELF REGIONAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 8642292663 | SELF MEDICAL GROUP |
| Organization Legal Name | SELF MEDICAL GROUP |
| Physicians | 246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Montana Aden | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Myria Petrou | Diagnostic Radiology | Self Medical Group | 180 Broad St, Apt 1332, Stamford, CT 06901-5000 |
| Sylvia Gyapong | Diagnostic Radiology | Self Medical Group | 11035 Longboat Key Ln, Apt 308, Tampa, FL 33626-2754 |
| Anas Abdel Azim | Vascular Surgery | Self Medical Group | 160 Academy Ave, Greenwood, SC 29646-3808 |
| Varinder Kaur Singh | Family Medicine | Self Medical Group | 207 Holiday Rd, Mc Cormick, SC 29835-3430 |
| Jill Bell Shirley | Nurse Practitioner | Self Medical Group | 105 Vinecrest Ct, Suite 1000, Greenwood, SC 29646-8031 |
| Brian W Gunter | Infectious Disease | Self Medical Group | 104 Liner Dr, Greenwood, SC 29646-2310 |
| John Vincent Maylock | Family Medicine | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
| Kristal Smith Pitts | Nurse Practitioner | Self Medical Group | 421 Epting Ave, Greenwood, SC 29646-4041 |
| Leanna Willis Owings | Nurse Practitioner | Self Medical Group | 102 R L Sawyer Md Dr, Saluda, SC 29138-9199 |
| Street Address |
102 GREGOR MENDEL CIR |
| City | GREENWOOD |
| State | SC |
| Zip | 29646-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Curran Howell | Nurse Practitioner | Self Medical Group | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 |
| Douglas F Powell | Orthopedic Surgery | Self Medical Group | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 |
| Alan J Baker | Nurse Practitioner | Self Medical Group | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudie Moore Clem | Clinical Social Worker | 112 Bypass, Suite 225, Greenwood, SC 29646-1154 | |
| Lynn T Hemphill | Clinical Social Worker | 112 Bypass, Suite 225, Greenwood, SC 29646-1154 | |
| Bennie S Henderson | Nurse Practitioner | Nhc Healthcare-greenwood LLC | 437 E Cambridge Ave, Greenwood, SC 29646-2244 |
| Daisy Smith | Nurse Practitioner | Nhc Healthcare-greenwood LLC | 437 E Cambridge Ave, Greenwood, SC 29646-2244 |
| Paula B Haynes | Nurse Practitioner | Nhc Healthcare-greenwood LLC | 437 E Cambridge Ave, Greenwood, SC 29646-2244 |
| David E Knecht Jr. | Chiropractic | 201 Hampton Ave, Suite C, Greenwood, SC 29646-2271 | |
| Jennifer Hershberger | Ophthalmology | Greenwood Eye Clinic Pa | 665 W Alexander Rd, Greenwood, SC 29646-2301 |
| Timothy L. Austin | Ophthalmology | Greenwood Eye Clinic Pa | 665 W Alexander Rd, Greenwood, SC 29646-2301 |
| Stephanie Compton Turner | Ophthalmology | Greenwood Eye Clinic Pa | 665 W Alexander Rd, Greenwood, SC 29646-2301 |
| Brian Vahjen | Ophthalmology | Greenwood Eye Clinic Pa | 665 W Alexander Rd, Greenwood, SC 29646-2301 |
| Find all physicians in zip 29646 | |||
| City | GREENWOOD |
| Zip Code | 29646 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | GREENWOOD + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Michael Josiah Maughon Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.