Individual provider Active NPI

Aimee Mayfield, NP

  • Family Nurse Practitioner
  • Picayune, MS
National Provider Identifier
1285176271
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
586835 Issued in MS
Practice address
801 Williams Ave
Picayune, MS 39466-3956
Phone
(601) 798-5558
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 586835 MS Primary

Addresses

Primary practice location

801 Williams Ave
Picayune, MS 39466-3956

Mailing address

801 Williams Ave
Picayune, MS 39466-3956
Phone (601) 798-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20171220002836 MS Practitioner - Nurse Practitioner 8426316407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
586835MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 1, 2017 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 1, 2017 Accepting new patients
Children'S International, LLC Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Children'S International L.L.C. Past Accepting new patients

Locations

1340 Broad Ave
Ste 450
Gulfport, MS 39501
Phone (228) 867-5006

9454 Three Rivers Rd
Ste A
Gulfport, MS 39503
Phone (228) 864-7747

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Interoperability endpoints

  • Direct secure messaging: amayfield@direct.mhg.com

Organizations & group practices 7

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1285176271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WILLIAMS AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663956",
            "telephone_number": "601-798-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILLIAMS AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663956",
            "telephone_number": "601-798-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "586835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.