Active NPI
James Perry Mayo III, M.D., MPH
- Child & Adolescent Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1003262551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 218265
- Practice address
- 1426 Navaho TRL Unit 107
Wilmington, NC 28409-3325 - Phone
- (910) 518-8807
- Fax
- (910) 216-4278
- NPI assigned
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | T9949 | TX | |
| Psychiatry Physician | 2084P0800X | 218265 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 218265 | NC | Primary |
Addresses
Primary practice location
1426 Navaho TRL Unit 107
Wilmington, NC 28409-3325
Mailing address
1426 Navaho TRL Unit 107
Wilmington, NC 28409-3325
Phone (910) 518-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T9949 | TX | MD | Behavioral Neurology & Neuropsychiatry Physician |
| 218265 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaun S. Varghese, M.D., PLLC | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Networks
- TN PPO
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
dba UNC Faculty Physicians
- Primary Care Clinic/Center
- Chapel Hill, NC
- NPI 1184882045
-
dba The Houston Institute of Neurology for Kids
- Neurology with Special Qualifications in Child Neurology Physician
- Shenandoah, TX
- NPI 1497168546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1003262551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 NAVAHO TRL UNIT 107",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093325",
"telephone_number": "910-518-8807",
"fax_number": "910-216-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 NAVAHO TRL UNIT 107",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093325",
"telephone_number": "910-518-8807",
"fax_number": "910-216-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "JAMES",
"middle_name": "PERRY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "T9949",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "218265",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "218265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.