Individual provider Active NPI

James Perry Mayo III, M.D., MPH

  • Child & Adolescent Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1003262551
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
218265 Issued in NC
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

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727004087 NC Practitioner - Psychiatry 9537450564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T9949TXMDBehavioral Neurology & Neuropsychiatry Physician
218265NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaun S. Varghese, M.D., PLLC PastSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.