Active NPI
Kit Sanford Mays, MD
- Interventional Pain Medicine Physician
- Memphis, TN
National Provider Identifier
1104993773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD0000008283
- Practice address
- 55 Humphreys Center Drive Suite 200
Pain Clinic Associates PC
Memphis, TN 38120-2366 - Phone
- (901) 747-0040
- Fax
- (901) 842-6910
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD0000008283 | TN | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD0000008283 | TN | |
| Interventional Pain Medicine Physician | 208VP0014X | MD0000008283 | TN | Primary |
Addresses
Primary practice location
55 Humphreys Center Drive Suite 200
Pain Clinic Associates PC
Memphis, TN 38120-2366
Mailing address
PO Box 205
Pain Clinic Associates PC
Memphis, TN 38101-0205
Phone (901) 255-9900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2042040 | Other | UNITED HEALTHCARE | |
| 0017765 | Other | TN | BLUE CROSS TN |
| 3179049 | Medicaid | TN | |
| 4057014 | Other | AETNA | |
| 2602558 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000008283 | TN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1104993773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205",
"address_2": "PAIN CLINIC ASSOCIATES PC",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381010205",
"telephone_number": "901-255-9900",
"fax_number": "901-842-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HUMPHREYS CENTER DRIVE SUITE 200",
"address_2": "PAIN CLINIC ASSOCIATES PC",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202366",
"telephone_number": "901-747-0040",
"fax_number": "901-842-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "KIT",
"middle_name": "SANFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD0000008283",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TN",
"license": "MD0000008283",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "MD0000008283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2042040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS TN",
"identifier": "0017765",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3179049",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4057014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2602558",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.