Mymae Group LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MYMAE GROUP LLC

Practice address

317 Trollinger St
Burlington, NC 27215-2227

Phone

(336) 270-4684

NPI assigned

Nov 26, 2025

Organization subpart

No

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

Authorized official

Name

Tori Cidiciqua MitchellNPI 1346102514

Title

Owner

Phone

(336) 350-0334

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tori Cidiciqua Mitchell

  • Other Specialist/Technologist
  • Burlington, NC
  • NPI 1346102514
  NPD Authorized official

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1295697498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 TROLLINGER ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152227",
            "telephone_number": "336-270-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 TROLLINGER ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152227",
            "telephone_number": "336-270-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMAE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "CIDICIQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-350-0334"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Burlington, NC
• Providers in Burlington, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.