Country Doctors Family Medicine Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2571 Issued in WV

Legal business name

COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION

Doing business as

Country Doctors

Practice address

658 Burke Rd
Masontown, WV 26542-0000

Phone

(304) 864-4362

Fax

(304) 864-4366

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vicky Lynn Mays, DONPI 1710142278

Title

Ao

Phone

(304) 864-4362

Specialties & licenses 1

Addresses

Other names 1

• Country Doctors Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Vicky Lynn Mays, D.O.

  • Family Medicine Physician
  • Masontown, WV
  • NPI 1710142278
  Medicare reassignment Care Compare group NPD Authorized official
• Albert Gene Mays, D.O.

  • Family Medicine Physician
  • Masontown, WV
  • NPI 1861786568
  Medicare reassignment Care Compare group NPD
• Andrea L Snyder

  • Licensed Practical Nurse
  • Masontown, WV
  • NPI 1164381802
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1497161624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BURKE RD",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265420000",
            "telephone_number": "304-864-4362",
            "fax_number": "304-864-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BURKE RD",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265420000",
            "telephone_number": "304-864-4362",
            "fax_number": "304-864-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "304-864-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Bullard
• By His Hand Ministries and Transportation,Inc.
• Sandra Calvert
• Anna Marie Chipps
• Joyce Cottrell
• Christina Dawn Cress
• Danette Lynne Croaston, CRNA
• Chris Curry
• Victoria Juanita Davis
• Isabella Dewitt

• Family Medicine Physician in Masontown, WV
• Providers in Masontown, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.