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
Hospital & facility affiliations 7
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
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
- Baptist Health Home Health-LR
- Elite Home Health
- Baptist Health Medical Center-Little Rock
- Saline Memorial Hospital
- Baptist Health Medical Center-Hot Springs County
- Baptist Health Rehabilitation Institute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050323000632 | AR | Practitioner - Family Practice | 0446204705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8451 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Family Medicine | Current |
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
- jmayfield3437@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5J475 | Other | AR | BCBS |
| 0904380019 | Other | AR | DMERC |
| 129603001 | Medicaid | AR | |
| 8700962001 | Other | AR | CIGNA |
| 0005277096 | Other | AR | AETNA |
| 0120295 | Other | AR | UNITED HEALTHCARE |
| 16740000000 | Other | AR | QUALCHOICE |
| 384486 | Other | AR | HEALTHLINK |
NPI Registry JSON
{
"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
- Kristi Matthews
- Lakesha Nicole Mattin
- Maxus Inc.
- Alex Maxwell
- Cynthia May
- Misty Mayhan
- Tashia Mayo
- Aaron McBride
- Leslie McBride
- Lori D McBride
All providers in Benton, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.