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MARY ANNA MAYNARD LPC
NPI 1598447575
Counselor - Professional in Evans, GA

Active since August 01, 2023PECOS Enrolled
1202 TOWN PARK LN STE 300, EVANS, GA 30809(706) 210-8855(706) 432-8775 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 14, 2026, Mar 13, 2026, Aug 28, 2023 (3 updates tracked since 2023).

About Mary Anna Maynard Lpc NPPES

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

MARY ANNA MAYNARD LPC (NPI 1598447575) is an individual professional provider in Evans, Georgia, licensed in Georgia (LPC016494) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598447575
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ANNA MAYNARDCredential: LPC
Location Address1202 TOWN PARK LN STE 300Evans, GA 30809-3477
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(706) 210-8855
Fax(706) 432-8775
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2023
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1598447575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC016494
1202 TOWN PARK LN STE 300, Evans, GA 30809
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Anna Maynard Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628548328
PECOS Enrollment IDI20260522001438
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.

Other Providers at the Same Location NPPES 18

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

CHARLES LAWSON BOST LPC
Marriage & Family Therapist
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
DR. KEITH WILSON EDMONDS LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
MS. JANESE ADELLIS BROWN LCSW
Social Worker (Clinical)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
LESLIE JOHNSON OWEN LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
KATHY DEXTER PA-C
Physician Assistant
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
SHAUNA LYNNE KENNEY LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
ELLEN JESTER JENKINS LPC
Counselor (Professional)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (706) 210-8855
MARY ROSS
Nurse Practitioner (Psychiatric/Mental Health)
1202 TOWN PARK LN STE 300
EVANS, GA 30809
Columbia County (844) 669-0429

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 Mary Maynard's NPI number?

The NPI number for Mary Maynard is 1598447575. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Mary Maynard located?

Mary Maynard practices at 1202 Town Park Ln Ste 300, Evans, GA 30809. The listed phone number is (706) 210-8855.

What is Mary Maynard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Maynard enrolled in Medicare?

Yes. Mary Maynard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Maynard was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.