Organization Active NPI

Stan J Mays MD a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1104959741
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L18505 Issued in LA
Legal business name
STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION
Doing business as
MAYS CLINIC
Practice address
4242 Gus Young Ave
Baton Rouge, LA 70802-1733
Phone
(225) 926-2258
Fax
(225) 925-2520
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Stan J Mays, M.D.NPI 1851360622
Title
President
Phone
(225) 926-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X L18505 LA Primary

Addresses

Primary practice location

4242 Gus Young Ave
Baton Rouge, LA 70802-1733

Mailing address

4242 Gus Young Ave
Baton Rouge, LA 70802-1733
Phone (225) 926-2258

Other names 1

  • MAYS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041117000283 LA Part B Supplier - Clinic/Group Practice 8921062175 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0462348Mays Clinic4242 Gus Young Avenue, Baton Rouge, LA 70802Provider-performed microscopyMay 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1104959741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 GUS YOUNG AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021733",
            "telephone_number": "225-926-2258",
            "fax_number": "225-925-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 GUS YOUNG AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021733",
            "telephone_number": "225-926-2258",
            "fax_number": "225-925-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-926-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "L18505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.