Individual provider Active NPI

Kit Sanford Mays, MD

  • Interventional Pain Medicine Physician
  • Memphis, TN
National Provider Identifier
1104993773
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD0000008283 Issued in TN
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

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2042040OtherUNITED HEALTHCARE
0017765OtherTNBLUE CROSS TN
3179049MedicaidTN
4057014OtherAETNA
2602558OtherCIGNA

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

LicenseStateTypeSpecialty
MD0000008283TNMDAnesthesiology 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.

Verify at the official NPI Registry.