Active NPI
Johnny Lee Mayes Jr., M.D.
- Obstetrics & Gynecology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q0790
- Practice address
- 7922 Ewing Halsell Dr
Suite 170
San Antonio, TX 78229-3786 - Phone
- (210) 614-7993
- Fax
- (210) 692-0432
- NPI assigned
- Apr 26, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Q0790 | TX | Primary |
Addresses
Primary practice location
7922 Ewing Halsell Dr
Suite 170
San Antonio, TX 78229-3786
Mailing address
7922 Ewing Halsell Dr
Suite 170
San Antonio, TX 78229-3786
Phone (210) 614-7993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Medical Associates | Current | Accepting new patients | |
| WT Medical Associates | Current | Accepting new patients | |
| University of Tennessee | Current | Accepting new patients | |
| WT University Medical Associates Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| WT Medical Associates | Current | Accepting new patients | |
| Obhg Tennessee, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Metropolitan Hospital Authority | Past | Accepting new patients |
Locations
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
1720 Woodlawn Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-2100
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Interoperability endpoints
- johnny.mayes.1@23211.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
- Jackson, TN
- NPI 1285924977
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1295223279
-
- Family Medicine Physician
- Jackson, TN
- NPI 1023572344
Obstetrics & Gynecology
-
- Family Medicine Physician
- Jackson, TN
- NPI 1780686436
-
- Rural Health Clinic/Center
- Halls, TN
- NPI 1356176556
-
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1427604198
-
- Multi-Specialty Clinic/Center
- Nashville, TN
- NPI 1710206156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1912298985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7922 EWING HALSELL DR",
"address_2": "SUITE 170",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293786",
"telephone_number": "210-614-7993",
"fax_number": "210-692-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7922 EWING HALSELL DR",
"address_2": "SUITE 170",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293786",
"telephone_number": "210-614-7993",
"fax_number": "210-692-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "JOHNNY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q0790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.