DR. JOHN VINCENT MAYLOCK (M.D.) – Family Medicine Physician, NPI 1366413833

DR. JOHN VINCENT MAYLOCK (M.D.) is a healthcare provider. based in Adel, Georgia. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 064862 (GA). The NPI Number for DR. JOHN VINCENT MAYLOCK (M.D.) is 1366413833

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN VINCENT MAYLOCK (M.D.)
NPI
1366413833
Phone
(229) 896-8000
Address
706 N PARRISH AVE
Enumeration Date
31 January 2006
Last Update Date
28 March 2019

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8432484700
Graduation Year
1992 (34 years ago)
PAC ID
5991834111
Group Practice PAC ID
3577668763
Professional Enrollment ID
I20190206000017
Address ID
SC295263572CO1608XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,191 FAMILY PRACTICE in SC

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Provider Addresses for DR. JOHN VINCENT MAYLOCK (M.D.)

  • Timanta D Wilcox, 706, North Parrish Avenue, Adel, Cook County, Georgia, 31620, United States

    ADEL, GA 31620

    Phone: (229) 896-8000

    Fax: (229) 896-4277

    Type: Mailing

  • State Highway 72, Timberlake, Greenwood County, South Carolina, 29649, United States

    GREENWOOD, SC 296491816

    Phone: (864) 943-0549

    Fax: (864) 227-2067

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($85).

Total Amount

$116

General + Research + Ownership

Payments

3

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-06

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
I20190206000017IFamily PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level7344$0
82570Creatinine level to test for kidney function or muscle injury6141$0
86803Hepatitis c antibody measurement2424$0
View full utilization report →

Insurance plans in this area (ZIP 31620)

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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: 3577668763View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Nurse PractitionerSC
Nurse PractitionerSC
Nurse PractitionerSC
Nurse PractitionerSC
Family PracticeSC
Nurse PractitionerNC
Internal MedicineSC
O P T O M E T R YCA
Family PracticeTX

Reviews

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Frequently asked questions

How do payers reference DR. JOHN VINCENT MAYLOCK (M.D.)?
For DR. JOHN VINCENT MAYLOCK (M.D.), use NPI 1366413833 as the unique 10-digit identifier.
Would DR. JOHN VINCENT MAYLOCK (M.D.) appear as active to a payer?
You can treat DR. JOHN VINCENT MAYLOCK (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JOHN VINCENT MAYLOCK (M.D.)?
DR. JOHN VINCENT MAYLOCK (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOHN VINCENT MAYLOCK (M.D.)?
Directory geography for DR. JOHN VINCENT MAYLOCK (M.D.) centers on Adel, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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