Individual provider Active NPI

Julie Annette Mays, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1164463568
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0007 Issued in NM
Practice address
3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812
Phone
(602) 789-0344
Fax
(602) 789-8389
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-80 AL
Physician Assistant 363A00000X PA2013-0007 NM Primary

Addresses

Primary practice location

3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812

Mailing address

3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812
Phone (602) 789-0344

Other practice location 1

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 249-5700

Other identifiers 1

IdentifierTypeStateIssuer
06378064MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130418000502 NM Practitioner - Physician Assistant 4880771294 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus Health Primary Care LLCGroup PAC ID 0345374690, 9 clinicians

Practice addresses (Care Compare)

2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone (505) 395-3000

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2013-0007NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Health Past Accepting new patients
Jackson Montgomery Emergency Physcians, LLC Past Accepting new patients
Southern Medical Group, Inc Past Accepting new patients

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1164463568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Hickory St",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351502913",
            "country_code": "US",
            "telephone_number": "256-249-5700",
            "fax_number": "256-249-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYS",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-80",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06378064",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.