Individual provider Active NPI

Cornelius Laffitte Mayfield, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1184687972
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12328R Issued in LA
Practice address
7777 Hennessy Blvd
Ste 102
Baton Rouge, LA 70808-4300
Phone
(225) 214-4300
Fax
(225) 214-4303
NPI assigned
Apr 11, 2006
Last updated
Sep 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12328R LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Ste 102
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Ste 102
Baton Rouge, LA 70808-4300
Phone (225) 214-4300

Other identifiers 1

IdentifierTypeStateIssuer
1698989MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081124000240 MS Practitioner - Internal Medicine 4284794025 Reassigns benefits to 2 organizations
I20120516000574 LA Practitioner - Internal Medicine 4284794025

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahatchie General HospitalGroup PAC ID 1052208097, 20 clinicians

Practice addresses (Care Compare)

1301 Sunset Dr
Suite E
Grenada, MS 38901-4103
Phone (662) 625-7191

141 Dr T T Lewis Circle
Charleston, MS 38921-2236
Phone (662) 647-5392

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12328RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahatchie General Hospital CurrentSince Apr 8, 2017 Accepting new patients
Tallahatchie General Hospital CurrentSince Apr 8, 2017 Accepting new patients
Tallahatchie General Hospital Current Accepting new patients

Locations

1301 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 229-0069

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tallagh-438e232a

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1184687972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-4300",
            "fax_number": "225-214-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-4300",
            "fax_number": "225-214-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "CORNELIUS",
        "middle_name": "LAFFITTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12328R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.