Marquitha S Mayfield, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001348 Issued in GA

Practice address

1718 Peachtree St NW
Atlanta, GA 30309-2452

Phone

(404) 350-9505

Fax

(404) 350-1611

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phynova Mso, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1447861950
  NPD (past)

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1134443054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54888",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080888",
            "telephone_number": "404-350-9505",
            "fax_number": "404-350-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092452",
            "telephone_number": "404-350-9505",
            "fax_number": "404-350-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "MARQUITHA",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "001348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Kaitlin Mayer
• Krysten Mayers-Mendoza
• Kimberly Mayes, DSW, LCSW
• Mayfaire Medical Inc
• Kellie Mayfield
• Melanie K Mayfield, PA-C
• George Allen Mayhall, MD
• Jeremy Stephen Maylath, MD
• Amber Maynard, CPNP
• Necia L Maynard, N.P.

• Surgical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.