Michael E Mayfield MD and Assoc PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

034023 Issued in GA

Legal business name

MICHAEL E MAYFIELD MD AND ASSOC PC

Practice address

630 Hillcrest Rd NW
Suite 400
Lilburn, GA 30047-1710

Phone

(770) 564-0590

Fax

(770) 564-8565

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Rhonda H Mayfield

Title

Vice President

Phone

(770) 564-0590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen J Groban, L.C.S.W.

  • Mental Health Counselor
  • Lilburn, GA
  • NPI 1225082456
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558315713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HILLCREST RD NW",
            "address_2": "SUITE 400",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471710",
            "telephone_number": "770-564-0590",
            "fax_number": "770-564-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HILLCREST RD NW",
            "address_2": "SUITE 400",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471710",
            "telephone_number": "770-564-0590",
            "fax_number": "770-564-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E MAYFIELD MD AND ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-564-0590"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "034023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.