Active NPI
Mayo Health Systems, Inc
- Health Service Clinic/Center
- Baton Rouge, LA
National Provider Identifier
1528439130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MAYO HEALTH SYSTEMS, INC
- Practice address
- 4336 North Blvd Ste 104
Baton Rouge, LA 70806-3920 - Phone
- (225) 208-0133
- Fax
- (855) 567-2348
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tamika Session Mayo, MD
- Title
- Ceo
- Phone
- (225) 208-0133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
4336 North Blvd Ste 104
Baton Rouge, LA 70806-3920
Mailing address
PO Box 3408
Pflugerville, TX 78691-3408
Phone (225) 266-5036
Other practice location 1
201 N Heatherwilde Blvd Apt 104
Pflugerville, TX 78660-6448
Phone (225) 208-0133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1576565 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | KONZA | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
3401 North Blvd
Ste 410
Baton Rouge, LA 70806
Phone (225) 381-2600
4336 North Blvd
Ste 203
Baton Rouge, LA 70806
Phone (225) 364-7767
201 N Heatherwilde Blvd
Ste 104
Pflugerville, TX 78660
Phone (225) 208-0133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1912325218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669161600000",
"number": "1528439130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3408",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786913408",
"telephone_number": "225-266-5036",
"fax_number": "555-672-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4336 NORTH BLVD STE 104",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063920",
"telephone_number": "225-208-0133",
"fax_number": "855-567-2348"
}
],
"practiceLocations": [
{
"address_1": "201 N Heatherwilde Blvd Apt 104",
"address_purpose": "LOCATION",
"city": "Pflugerville",
"state": "TX",
"postal_code": "786606448",
"country_code": "US",
"telephone_number": "225-208-0133",
"fax_number": "855-567-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAYO HEALTH SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A",
"authorized_official_last_name": "MAYO",
"authorized_official_first_name": "TAMIKA",
"authorized_official_middle_name": "SESSION",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-208-0133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1576565",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "KONZA",
"affiliation": "N",
"endpointDescription": "OFFICE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4336 North Blvd Ste 104",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708063920",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.