MICHAEL DOUGLAS MAVIS (NPI# 1053809095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053809095 |
| Entity Type | Individual |
| Full Name | MICHAEL DOUGLAS MAVIS |
| Practice Address |
233 Mountain Estates Rd Pickens SC 29671-8518 |
| Practice Telephone | 8646378770 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
233 MOUNTAIN ESTATES RD |
| City | PICKENS |
| State | SC |
| Zip Code | 29671-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159750 | Rhonda B Billingsley | Counselor | 44 Lagerholm Mtn Rd, Pickens, SC 29671 | 2018-06-28 |
| 1275051815 | Matthew Christopher Going | Counselor | 309 E Main Street, Pickens, SC 29671 | 2017-09-05 |
| 1528584596 | Rachel L Roach | Counselor | 309 E. Main Street, Pickens, SC 29671 | 2017-08-21 |
| 1679828172 | Dustin Bradley Harward | Specialist/Technologist | 203 Shady Grove Estates, Pickens, SC 29671 | 2012-07-20 |
| 1770616633 | Paul W Giddings | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-13 |
| 1558405563 | James Rudolph Mahanes | Surgery | 123 Wg Acker Drive, Suite D, Pickens, SC 29671 | 2007-02-16 |
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1467400671 | Kathy Marie Waggett | Psychiatry & Neurology | 314 West Main St, Pickens, SC 29671 | 2006-05-04 |
| 1932753480 | Jaimee Chapman | Social Worker | 309 E. Main Street, Pickens, SC 29671 | 2019-08-01 |
| 1538418637 | Lauri Stump Keeney | Pharmacist | 204 Hampton Ave, Pickens, SC 29671 | 2012-09-05 |
| Find all providers in zip 29671 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675236 | Daryl Clark | Contractor | 13 Surrey Ct Ste 200, Columbia, SC 29212-3172 | 2020-10-06 |
| 1598380412 | Felicia D Ruff | Contractor | 1455 Hidden Oaks Dr, Wedgefield, SC 29168-9523 | 2020-06-16 |
| 1962025098 | Amy Newsome | Contractor | 1224 Broach St Ste 124, Hartsville, SC 29550-9344 | 2020-05-23 |
| 1821610288 | Lawrence Andrew Cooper | Contractor | 220 Reedy River Ct, Roebuck, SC 29376-3371 | 2020-05-08 |
| 1073144689 | Trueblue Management Group | Contractor | 719 Kathy Dianne Dr # 342, Indian Land, SC 29707-6905 | 2020-02-01 |
| 1730728148 | Janice Gordon | Contractor | 1120 W Butler Rd Ste I, Greenville, SC 29607-4809 | 2020-01-02 |
| 1821631821 | Sylvester Lincoln | Contractor | 2875 Claussen Rd, Florence, SC 29505-7007 | 2019-10-22 |
| 1497305841 | Katina Mintz | Contractor | 1314 Chandler Cir, Florence, SC 29505-6464 | 2019-09-18 |
| 1912565052 | Robert Uemura | Contractor | 2554 Old Camden Hwy, Lancaster, SC 29720-8538 | 2019-06-04 |
| 1225508294 | Nikkieda Chanel Enterprises | Contractor | 160 Country Haven Rd, Hopkins, SC 29061-8479 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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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.