Active NPI
Charles Edward Mays II, PA
- Emergency Medicine Physician
- Miramar Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- PA9102401
- Practice address
- 7800 US Highway 98 W # ER
Emergency Room
Miramar Beach, FL 32550-7228 - Phone
- (850) 278-3000
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | PA9102401 | FL | Primary |
Addresses
Primary practice location
7800 US Highway 98 W # ER
Emergency Room
Miramar Beach, FL 32550-7228
Mailing address
PO Box 2699
SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 475-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102401 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| FL-I Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Vale of Paradise Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Destin, FL
- NPI 1659720654
-
- Emergency Medicine Physician
- Niceville, FL
- NPI 1831522614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1417909268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"address_2": "SHMG/HPE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-475-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 US HIGHWAY 98 W # ER",
"address_2": "EMERGENCY ROOM",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325507228",
"telephone_number": "850-278-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_suffix": "II",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "PA9102401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.