JULIANA MAVELLIA DO
NPI 1457091373
Pediatrics in Sumter, SC

Active since March 30, 2022PECOS Enrolled
370 S PIKE W, SUMTER, SC 29150(803) 774-4500(803) 774-4629 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Jul 8, 2022 (2 updates tracked since 2022).

About Juliana Mavellia Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIANA MAVELLIA DO (NPI 1457091373) is an individual pediatrics provider in Sumter, South Carolina, licensed in South Carolina (94429) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457091373
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJULIANA MAVELLIACredential: DO
Location Address370 S PIKE WSumter, SC 29150-2664
Mailing Address550 S Pike WSumter, SC 29150-2616 · (803) 324-6975 · Fax (803) 324-6975
Fax(803) 774-4629
Sole ProprietorYes
Enumeration DateMarch 30, 2022
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1457091373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 94429
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
370 S PIKE W, Sumter, SC 29150

Other Identifiers 1

Medicaid944296SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juliana Mavellia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Juliana Mavellia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
370 S PIKE W
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1740641919 (South Carolina)
  • 11 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 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
370 S PIKE W
SUMTER, SC 29150
Pediatrics (Developmental - Behavioral Pediatrics)
370 S PIKE W
SUMTER, SC 29150
Nurse Practitioner (Women's Health)
370 S PIKE W
SUMTER, SC 29150
Nurse Practitioner (Pediatrics)
370 S PIKE W
SUMTER, SC 29150
Advanced Practice Midwife
370 S PIKE W
SUMTER, SC 29150
Pediatrics
370 S PIKE W
SUMTER, SC 29150
Obstetrics & Gynecology (Gynecology)
370 S PIKE W
SUMTER, SC 29150
Pediatrics
370 S PIKE W
SUMTER, SC 29150

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 Juliana Mavellia's NPI number?

The NPI number for Juliana Mavellia is 1457091373. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Juliana Mavellia located?

Juliana Mavellia practices at 370 S Pike W, Sumter, SC 29150. The listed phone number is (803) 774-4500.

What is Juliana Mavellia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juliana Mavellia enrolled in Medicare?

Yes. Juliana Mavellia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juliana Mavellia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juliana Mavellia reassigns Medicare benefits to Tandem Health Sc (Sumter, SC). 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 Juliana Mavellia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juliana Mavellia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Juliana Mavellia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juliana Mavellia was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.