Active NPI
Griffen Mayes, MAT, LAT, ATC
- Athletic Trainer
- Novi, MI
National Provider Identifier
1861033243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601002689
- Practice address
- 24062 Taft Rd
Novi, MI 48375-3022 - Phone
- (734) 748-2155
- NPI assigned
- Oct 7, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601002689 | MI | Primary |
Addresses
Primary practice location
24062 Taft Rd
Novi, MI 48375-3022
Mailing address
4835 Williams St
Wayne, MI 48184-2059
Other practice location 1
35311 Annapolis St
Wayne, MI 48184-2135
Phone (734) 748-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601002689 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1861033243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 WILLIAMS ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24062 TAFT RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483753022",
"telephone_number": "734-748-2155"
}
],
"practiceLocations": [
{
"address_1": "35311 Annapolis St",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "MI",
"postal_code": "481842135",
"country_code": "US",
"telephone_number": "734-748-2155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYES",
"first_name": "GRIFFEN",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-07",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601002689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.