Gregory J Mayfield, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1067 Issued in LA

Practice address

2219 Line Ave
Shreveport, LA 71104-2128

Phone

(318) 828-1517

Fax

(318) 828-1685

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayfield-Bacon Auto Accident and Injury Clinic LLCGroup PAC ID 3274065388, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mayfield-Bacon Auto Accident & Injury Clinic LLC

  • Chiropractor
  • Shreveport, LA
  • NPI 1396047981
  Medicare reassignment Care Compare group NPD Authorized official
• Mayfield Chiropractic Clinic, Appc

  • Chiropractor
  • Monroe, LA
  • NPI 1568689339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1972556793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042128",
            "telephone_number": "318-828-1517",
            "fax_number": "318-828-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042128",
            "telephone_number": "318-828-1517",
            "fax_number": "318-828-1685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Royal Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015608",
            "country_code": "US",
            "telephone_number": "318-323-7246",
            "fax_number": "318-323-7265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID #",
            "identifier": "721372556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Mayes
• Erana Mayes
• Laura C Mayeux, CRNA
• Mayfield-Bacon Auto Accident & Injury Clinic LLC
• Edward A Mayfield, CRNA
• Janeicia Nicole Mayfield
• Keith R Mayfield, M.D.
• Kyle Andrew Mayfield, DC
• Marty M Mayfield, NP
• Tamiko Mayfield

• Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.