Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lori P Mauldin, PA-C

Individual provider Dermatology Physician · NPI 1649221854

Mrs. Lori P Mauldin, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2003, 23 years ago. Practices with Carolina Dermatology Grp, a 27-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1706 Saint Julian Pl
Columbia, SC 29204-2410
Phone: (803) 771-7506
Fax: (803) 771-9455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 920 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 920 (SC)

Record details

NPI number1649221854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESApril 30, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Carolina Dermatology Grp — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia