Organization Active NPI

Mayes Internal Medicine, LLC

  • Internal Medicine Physician
  • Hilton Head, SC
National Provider Identifier
1952713174
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19565 Issued in SC
Legal business name
MAYES INTERNAL MEDICINE, LLC
Practice address
8 Hospital Center Blvd Ste 210
Hilton Head, SC 29926-8700
Phone
(843) 342-4455
Fax
(843) 342-4456
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Michael P Mayes, MDNPI 1275627077
Title
Owner
Phone
(843) 342-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD19565 SC Primary

Addresses

Primary practice location

8 Hospital Center Blvd Ste 210
Hilton Head, SC 29926-8700

Mailing address

8 Hospital Center Blvd Ste 210
Hilton Head Island, SC 29926-8700
Phone (843) 342-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008002590 SC Part B Supplier - Clinic/Group Practice 5193945475 Receives reassigned benefits from 3 practitioners
Practice locations: Hilton Head, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2081812Mayes Internal Medicine, LLC8 Hospital Center Blvd, Suite 210, Hilton Head Island, SC 29926Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

8 Hospital Center Blvd
Ste 210
Hilton Head Island, SC 29926
Phone (843) 342-4455

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1952713174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 210",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268700",
            "telephone_number": "843-342-4455",
            "fax_number": "843-342-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 210",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299268700",
            "telephone_number": "843-342-4455",
            "fax_number": "843-342-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-342-4455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD19565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.