Individual provider Active NPI

Jodi Mayo, PA-C

  • Medical Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1528483161
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C05325 Issued in MD
Practice address
13214 Fountain Head PLZ
Hagerstown, MD 21742-2678
Phone
(301) 766-9293
NPI assigned
Feb 19, 2014
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C05325 MD Primary

Addresses

Primary practice location

13214 Fountain Head PLZ
Hagerstown, MD 21742-2678

Mailing address

1306 Oak Hill Ave
Hagerstown, MD 21742-3220
Phone (703) 999-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160606000626 MD Practitioner - Physician Assistant 1355631227 Reassigns benefits to 1 organization
I20200807001570 WV Practitioner - Physician Assistant 1355631227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 12, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 4, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince May 12, 2016 Accepting new patients
Health and Education Building-Urgent Care CurrentSince May 4, 2020 Accepting new patients
Sef Development LLC PastSince Aug 25, 2025 Accepting new patients
Structural Elements, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

2010 Doctor Oates Dr
Ste 102
Martinsburg, WV 25401
Phone (304) 264-6343

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: jmayo162667@direct.wvuhsdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1528483161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423220",
            "telephone_number": "703-999-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 FOUNTAIN HEAD PLZ",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422678",
            "telephone_number": "301-766-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "JODI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.