SHARLENE MAYNOR NP
NPI 1003202599
Nurse Practitioner - Women's Health in Riverdale, GA
About Sharlene Maynor Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARLENE MAYNOR NP (NPI 1003202599) is an individual women's health provider in Riverdale, Georgia, licensed in Georgia (RN163859) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sharlene Maynor Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sharlene Maynor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERDALE, GA 30274
RIVERDALE, GA 30274
RIVERDALE, GA 30274
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sharlene Maynor's NPI number?
The NPI number for Sharlene Maynor is 1003202599. It was assigned to this individual provider in the NPPES registry on April 10, 2015.
Where is Sharlene Maynor located?
Sharlene Maynor practices at 81 Upper Riverdale Rd SW Ste 210, Riverdale, GA 30274. The listed phone number is (770) 996-1200.
What is Sharlene Maynor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Sharlene Maynor enrolled in Medicare?
Yes. Sharlene Maynor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sharlene Maynor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sharlene Maynor reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharlene Maynor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sharlene Maynor was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sharlene Maynor, NP · NPI 1003202599
Women's Health physician in Riverdale, Georgia. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1003202599 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** RN163859 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 UPPER RIVERDALE RD SW, STE 210, Riverdale, GA 30274-2634
- **Phone:** (770) 996-1200 · **Fax:** (770) 907-2334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1003202599) · Data from the CMS NPPES public registry.