Gregory C Mays M.D., P.L.C.
Organization Active NPI Specialist · Covington, VA
NPI 1649537440 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1649537440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 0101056393 (VA)
- Legal business name
- GREGORY C MAYS M.D., P.L.C.
- Practice address
- 201 Interstate Dr
Covington, VA 24426-6441 - Phone
- (540) 962-4621
- Fax
- (540) 962-7573
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory Mays, M.D.
- Title
- Member
- Phone
- (540) 962-4621
Practitioners 2
-
Gregory Charles Mays, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120731000741 | VA | Part B Supplier - Clinic/Group Practice | 4981860228 |
Receives reassigned benefits from 1 practitioner Practice locations: Covington, VA |
National Provider Directory
Locations
1802 Midland Trl
Covington, VA 24426
Phone (540) 962-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 0101056393 | VA | Yes |
Addresses
Primary practice location
201 Interstate Dr
Covington, VA 24426-6441
Mailing address
201 Interstate Dr
Covington, VA 24426-6441
Phone (540) 962-4621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180000726 | Other | VA | MEDICARE |
| 282566 | Other | VA | ANTHEM |
| 006304931 | Medicaid | VA | |
| 0096343000 | Medicaid | WV |
Other providers in Covington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.