Misty D. Mayfield, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R864583 Issued in MS

Practice address

2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259

Phone

(601) 553-0707

Fax

(601) 553-0775

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

No

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.

• Anderson Physician Alliance, Inc.

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1760798227
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2013.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1962708347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2839",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022839",
            "telephone_number": "601-553-0707",
            "fax_number": "601-553-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 67TH AVENUE LOOP",
            "address_2": "SUITE 112",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393077259",
            "telephone_number": "601-553-0707",
            "fax_number": "601-553-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "MISTY",
        "middle_name": "D.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R864583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09076220",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Graham May, RPH
• Glynda May
• Jerry B. May, CRNA
• Stephanie Mayer, FNP-C
• Samantha Mayerhoff, FNP
• Ophelia Mayfield
• June Mbae, M.D.
• McArthur Chiropractic, LLC
• Russel Earl McArthur, D.C.
• Cady Pace McBride, FNP-C

• All providers in Meridian, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.