Active NPI
Benjamin R Mayer, DO
- Family Medicine Physician
- Waynesville, NC
National Provider Identifier
1598075244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01823
- Practice address
- 23 W Marshall St
Waynesville, NC 28786-3298 - Phone
- (850) 938-3733
- Fax
- (828) 372-4504
- NPI assigned
- Oct 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01823 | NC | Primary |
Addresses
Primary practice location
23 W Marshall St
Waynesville, NC 28786-3298
Mailing address
23 W Marshall St
Waynesville, NC 28786-3298
Phone (850) 938-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5922612 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130410000344 | NC | Practitioner - Family Practice | 5799934170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- benjamin.mayer@427595857395716.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1598075244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W MARSHALL ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863298",
"telephone_number": "850-938-3733",
"fax_number": "828-372-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W MARSHALL ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863298",
"telephone_number": "850-938-3733",
"fax_number": "828-372-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "BENJAMIN",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "01823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5922612",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.