Individual provider Active NPI

Christopher Lance Mayfield, MD

  • Emergency Medicine Physician
  • Batesville, AR
National Provider Identifier
1538780226
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U3293 Issued in TX
Practice address
1993 Harrison St
Batesville, AR 72501-7309
Phone
(870) 793-2540
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X U3293 TX Primary

Addresses

Primary practice location

1993 Harrison St
Batesville, AR 72501-7309

Mailing address

701 W 5TH St
Odessa, TX 79763-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211111002882 AR Practitioner - Family PracticePractitioner - Emergency Medicine 4082003041 Reassigns benefits to 1 organization
I20240130000433 TX Practitioner - Family Practice 4082003041 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U3293TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Hospital CurrentSince Dec 12, 2021 Accepting new patients
Century Integrated Partners, Inc Single Specialty CurrentSince May 7, 2024 Accepting new patients
Fulton County Hospital Single Specialty CurrentSince Dec 12, 2021 Accepting new patients
Basin Emergency Physicians PLLC Single Specialty CurrentSince Dec 25, 2023 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1538780226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017309",
            "telephone_number": "870-793-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "CHRISTOPHER",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.