Organization Active NPI

Mayo Health Systems, Inc

  • Health Service Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1528439130
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Nov 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1576565MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KONZA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.