Jeffrey S Mayfield, M.D.

Individual provider Active NPI Family Medicine Physician · Benton, AR

NPI 1184697203 · NPPES record last updated Jun 20, 2024

Key facts

NPI
1184697203
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
C-8451 (AR)
Practice address
819 West Carpenter Street
Benton, AR 72015-3349
Phone
(501) 778-8264
Fax
(501) 778-7360
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 7

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

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health Group (645 clinicians)

Practice addresses (Care Compare)

819 W Carpenter St
Benton Family Clinic
Benton, AR 72015-3349
Phone (501) 778-8264

Hospital & facility affiliations

  • Saline Memorial Home Health Home health agency · Bryant, AR · CCN 047043
  • Baptist Health Home Health-LR Home health agency · Little Rock, AR · CCN 047090
  • Elite Home Health Home health agency · Hot Springs, AR · CCN 047151
  • Baptist Health Medical Center-Little Rock Hospital · Little Rock, AR · CCN 040114
  • Saline Memorial Hospital Hospital · Benton, AR · CCN 040084
  • Baptist Health Medical Center-Hot Springs County Hospital · Malvern, AR · CCN 040076
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility · Little Rock, AR · CCN 043026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050323000632 AR Practitioner - Family Practice 0446204705 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C8451ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Family Medicine Current Accepting new patients
Arkansas Health Group Family Medicine Current
since Jan 1, 2024
Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

819 W Carpenter St
Benton, AR 72015
Phone (501) 663-6262

4411 Highway 5 N
Bryant, AR 72022
Phone (501) 847-0289

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: jmayfield3437@direct.baptist-healthar.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C8451 AR
Family Medicine Physician 207Q00000X C-8451 AR Yes

Addresses

Primary practice location

819 West Carpenter Street
Benton, AR 72015-3349

Mailing address

819 West Carpenter Street
Benton, AR 72015-3349
Phone (501) 778-8264

Other identifiers

IdentifierTypeStateIssuer
5J475OtherARBCBS
0904380019OtherARDMERC
129603001MedicaidAR
8700962001OtherARCIGNA
0005277096OtherARAETNA
0120295OtherARUNITED HEALTHCARE
16740000000OtherARQUALCHOICE
384486OtherARHEALTHLINK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2024.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1184697203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WEST CARPENTER STREET",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WEST CARPENTER STREET",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8451",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-8451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J475",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0904380019",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129603001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8700962001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005277096",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0120295",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "16740000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "384486",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

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Sources for this page

Verify at the official NPI Registry.