Organization Active NPI

Amayszn LLC

  • Clinic/Center
  • Benton, AR
National Provider Identifier
1467232579
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMAYSZN LLC
Practice address
403 N Market St
Benton, AR 72015-3736
Phone
(501) 794-6123
Fax
(501) 794-6148
NPI assigned
Oct 5, 2023
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Mr. Timothy J Mays
Title
Owner
Phone
(501) 794-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

403 N Market St
Benton, AR 72015-3736

Mailing address

403 N Market St
Benton, AR 72015-3736
Phone (501) 794-6123

Other practice location 1

620 W South St Ste A
Benton, AR 72015-4235
Phone (501) 794-6123

Other names 1

  • West Side Wellness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231122000026 AR Part B Supplier - Clinic/Group Practice 2163870668 Receives reassigned benefits from 3 practitioners
Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Locations

403 N Market St
Benton, AR 72015
Phone (501) 304-0234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1467232579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N MARKET ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153736",
            "telephone_number": "501-794-6123",
            "fax_number": "501-794-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N MARKET ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153736",
            "telephone_number": "501-794-6123",
            "fax_number": "501-794-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 W South St Ste A",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720154235",
            "country_code": "US",
            "telephone_number": "501-794-6123",
            "fax_number": "501-794-6148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAYSZN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-794-6123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Side Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "West Side Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.