Individual provider Active NPI

Johnny Lee Mayes Jr., M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1912298985
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q0790 Issued in TX
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

Updated by the provider on Aug 26, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181111000004 TN Practitioner - Obstetrics/Gynecology 0648490797 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates CurrentSince Jun 24, 2023 Accepting new patients
WT Medical Associates Current Accepting new patients
University of Tennessee Current Accepting new patients
WT University Medical Associates Inc Obstetrics & Gynecology CurrentSince Dec 13, 2022 Accepting new patients
WT Medical Associates CurrentSince Jun 24, 2023 Accepting new patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince Oct 28, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.