Individual provider Active NPI

Pauline Michelle Mays

  • Primary Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174049985
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN0000022458 Issued in TN
Practice address
5551 Ross Rd
Memphis, TN 38141-0445
Phone
(901) 415-0371
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22458 TN
Primary Care Nurse Practitioner 363LP2300X APN0000022458 TN Primary

Addresses

Primary practice location

5551 Ross Rd
Memphis, TN 38141-0445

Mailing address

5551 Ross Rd
Memphis, TN 38141-0445
Phone (901) 415-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190626000542 TN Practitioner - Nurse Practitioner 9830423870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

4593 Elvis Presley Blvd
Suite 101
Memphis, TN 38116-1511
Phone (901) 261-7338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000022458TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Care Health Services, LLC. Family CurrentSince Jan 28, 2022 Accepting new patients
Memphis Health Center, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Memphis Health Center, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

4593 Elvis Presley Blvd
Ste 101
Memphis, TN 38116
Phone (901) 261-2000

4940 Highway 57
Rossville, TN 38066
Phone (901) 261-2221

Interoperability endpoints

  • Direct secure messaging: pauline.mays@oakstreethealth.gwaydirect.com
  • Direct secure messaging: pauline.mays.1@20250.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1174049985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 ROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381410445",
            "telephone_number": "901-415-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 ROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381410445",
            "telephone_number": "901-415-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "PAULINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22458",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000022458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.