Active NPI
Evan David Mayfield, MHS, MS, PA-C
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C05396
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (336) 718-9080
- Fax
- (336) 718-9085
- NPI assigned
- Nov 29, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03661 | NC | |
| Physician Assistant | 363A00000X | 024905 | NY | |
| Surgical Physician Assistant | 363AS0400X | 0010-03661 | NC | |
| Physician Assistant | 363A00000X | C05396 | MD | Primary |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-5973
Other practice location 1
1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1394
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
421 S Union Ave
Suite 201
Havre de Grace, MD 21078-3346
Phone (443) 843-6360
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1199
Hospital & facility affiliations
- Bassett Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C05396 | MD | MD | Physician Assistant |
| 0010-03661 | NC | MD | Physician Assistant |
| 024905 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Northwest Hospital Center, Inc | Physician Assistant | Current | Accepting new patients |
| Upper Chesapeake Surgical Associates, LLC | Past | Accepting new patients |
Locations
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
3940 Arrowhead Blvd
Mebane, NC 27302
Phone (336) 538-7725
Organizations & group practices 4
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.
-
- Surgery Physician
- Bel Air, MD
- NPI 1629175997
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
Physician Assistant
-
- Pharmacy
- Burlington, NC
- NPI 1851681993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1508101643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 OLD COURT RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335103",
"telephone_number": "410-521-5973",
"fax_number": "410-521-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-9080",
"fax_number": "336-718-9085"
}
],
"practiceLocations": [
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261394",
"country_code": "US",
"telephone_number": "607-547-3334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYFIELD",
"first_name": "EVAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MHS, MS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03661",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024905",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-03661",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C05396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.
- 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.