SHARLENE MAYNOR (NP) – Women's Health Nurse Practitioner, NPI 1003202599

SHARLENE MAYNOR (NP) is a healthcare provider. based in Riverdale, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN163859 (GA). The NPI Number for SHARLENE MAYNOR (NP) is 1003202599

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHARLENE MAYNOR (NP)
NPI
1003202599
Phone
(770) 996-1200
Address
81 UPPER RIVERDALE RD SW
Enumeration Date
10 April 2015
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043647206
Graduation Year
2013 (13 years ago)
PAC ID
6608185194
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20151023001235
Address ID
GA303051729AT3495XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for SHARLENE MAYNOR (NP)

  • 81 UPPER RIVERDALE RD SW

    STE 210

    RIVERDALE, GA 302742634

    Phone: (770) 996-1200

    Fax: (770) 907-2334

    Type: Location

  • PO BOX 962380

    RIVERDALE, GA 302966921

    Phone: (770) 996-1200

    Fax: (770) 907-2334

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151023001235INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SHARLENE MAYNOR (NP) in U.S. healthcare records?
The official identifier for SHARLENE MAYNOR (NP) is NPI 1003202599.
Active or inactive — what applies to SHARLENE MAYNOR (NP)?
You should see SHARLENE MAYNOR (NP) as active in CMS-hosted NPPES data.
How would a patient describe SHARLENE MAYNOR (NP)'s focus?
For SHARLENE MAYNOR (NP), the primary taxonomy reads as Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHARLENE MAYNOR (NP) located near Riverdale?
SHARLENE MAYNOR (NP) currently maps to Riverdale, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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