Sebrina Mayo

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420

Phone

(470) 506-9548

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1013633890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 KITTERY PT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393125",
            "telephone_number": "803-586-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 HENRY CLOWER BLVD STE D",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787420",
            "telephone_number": "470-506-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "SEBRINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Loy Mauldin, MD
• John E Maxa, M.D.
• Daniel William Maxwell, DO
• Raoul Mayer, M.D.
• Theresa Jeanine Mayhue, P.T.
• Virginia Susan Mayo, D.C.
• Deidra L Mays, LPC
• Mazzawi Family Dentistry, P.C.
• Anne Cown Mazzawi, D.D.S.
• James Matt Mazzawi, D.M.D.

• Clinical Laboratory Director (Non-physician) in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Laboratory Director (Non-physician) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.