Mays Medical Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAYS MEDICAL WELLNESS, LLC

Practice address

3964 Goodman Rd E Ste 128
Southaven, MS 38672-6494

Phone

(662) 655-0456

Fax

(662) 655-0457

NPI assigned

Jun 22, 2017

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey L. Mays, FNPNPI 1780917443

Title

FNP

Phone

(662) 655-0456

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16886/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey L Mays, F.N.P.

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1780917443
  Medicare reassignment Care Compare group NPD Authorized official
• Casey T. Nester, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1578816575
  Medicare reassignment Care Compare group
• Penny Marie Holley, FNP

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1013524495
  Medicare reassignment NPD

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1649790437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 128",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726494",
            "telephone_number": "662-655-0456",
            "fax_number": "662-655-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 128",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726494",
            "telephone_number": "662-655-0456",
            "fax_number": "662-655-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYS MEDICAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "662-655-0456",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001870621",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandee Lynn Masterson
• Matthew W Crain (Bio-Tek Medical)
• Terry Matthews
• Tiffany M Mattox-Rubin, RN
• George A May Jr., DDS
• Stephanie Mays
• Tracey L Mays, F.N.P.
• Saja B Mboge
• Jane Elizabeth McAdory, MD
• Alicia Caroline McAuley, PLPC

• Primary Care Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.