Individual provider Active NPI

Wallace David Mays, M.D.

  • Obstetrics & Gynecology Physician
  • Americus, GA
National Provider Identifier
1881667988
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207V00000X Issued in GA
Practice address
151 Mayo St
Suite B
Americus, GA 31709-3735
Phone
(229) 928-2900
Fax
(229) 928-2682
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207V00000X GA Primary

Addresses

Primary practice location

151 Mayo St
Suite B
Americus, GA 31709-3735

Mailing address

151 Mayo St
Suite B
Americus, GA 31709-3735
Phone (229) 928-2900

Other identifiers 2

IdentifierTypeStateIssuer
00189472AMedicaidGA
GRP623OtherGAMEDICARE GRP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000005 GA Practitioner - Obstetrics/Gynecology 2264474725 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207V00000XGAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Flint Area Community Service Board Current Accepting new patients
Middle Flint Area Community Service Board CurrentSince Nov 5, 2012 Accepting new patients
Phoebe Sumter Medical Center, Inc PastSince Jul 1, 2009 Accepting new patients
Wallace D. Mays, MD, PC Obstetrics & Gynecology PastSince Jul 1, 1966 Accepting new patients

Locations

415 N Jackson St
Americus, GA 31709
Phone (229) 815-5454

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1881667988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAYO ST",
            "address_2": "SUITE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093735",
            "telephone_number": "229-928-2900",
            "fax_number": "229-928-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAYO ST",
            "address_2": "SUITE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093735",
            "telephone_number": "229-928-2900",
            "fax_number": "229-928-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "WALLACE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00189472A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP #",
            "identifier": "GRP623",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.