Paul Mayes

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

519 Petty St
Petersburg, VA 23805-9329

Phone

(804) 605-1068

NPI assigned

Mar 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Madison Transport LLC

  • Non-emergency Medical Transport (VAN)
  • South Prince George, VA
  • NPI 1811450141
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1003374091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PETTY ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059329",
            "telephone_number": "804-605-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PETTY ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059329",
            "telephone_number": "804-605-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanikka Mason, LCSW
• Tyrric Mason
• Malcolm Lavaughan Massenberg
• Kiajah Aishah May, QMHP-A/C
• Mia Mayes
• Bria Mays, PA-C
• Lori Vaughan Mazsure
• Jacqueline Meredith McCabe, M.S., CCC-SLP
• Brian Wayne McCauley, PA-C
• Brendan D McCay, D.O.

• All providers in Petersburg, VA
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.