SHARLENE MAYNOR NP NPI 1003202599

NPI Information

  • NPI: 1003202599
  • Provider Name: SHARLENE MAYNOR, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 81 UPPER RIVERDALE RD SW
    STE 210
    RIVERDALE, GA
    ZIP 30274
  • Phone: (770) 996-1200

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NPI Details

Sharlene Maynor, NP is a women's health nurse practitioner in Riverdale, GA. Sharlene Maynor, NP NPI is 1003202599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

81 UPPER RIVERDALE RD SW
STE 210
RIVERDALE, GA
ZIP 30274-634
Phone: (770) 996-1200
Fax: (770) 907-2334

The NPI 1003202599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 4/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthRN163859GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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