MR. MARK MONROE MAYES (NPI# 1427056571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427056571 |
| Entity Type | Individual |
| Full Name | MR. MARK MONROE MAYES |
| Credential | FNP-C |
| Practice Address |
250 Johnson Ridge Medical Park Elkin NC 28621-2443 |
| Practice Telephone | 3365261977 |
| Practice Fax Number | 3365260061 |
| Mailing Telephone | 3365261977 |
| Mailing Fax Number | 3365260061 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-02-15 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200897 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000331 | 05 |
| Street Address |
250 JOHNSON RIDGE MEDICAL PARK |
| City | ELKIN |
| State | NC |
| Zip Code | 28621-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225113848 | Northwest Ear Nose & Throat, Pa | Clinic/Center | 250 Johnson Ridge Medical Park, Elkin, NC 28621-2443 | 2006-10-25 |
| 1467414433 | Americo Michael Minotti Jr. | Otolaryngology | 250 Johnson Ridge Medical Park, Elkin, NC 28621-2443 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992019566 | Andrea Dawn Stokes Underwood | Nurse Practitioner | 101a Eldon Parks Dr, Elkin, NC 28621-2455 | 2010-08-05 |
| 1164695227 | Karen Reece Puckett | Nurse Practitioner | 1550 N Bridge St, Elkin, NC 28621-2202 | 2008-04-10 |
| 1427162700 | Thelma Susan Winkler | Nurse Practitioner | 1919 N Bridge St, Elkin, NC 28621-2105 | 2006-08-17 |
| 1275504185 | Michael Wayne Beres | Nurse Practitioner | 400 Johnson Ridge Rd, Elkin, NC 28621-2418 | 2006-01-30 |
| 1720562143 | Sarah Hagwood Day | Nurse Practitioner | 101 Eldon Parks Dr Ste B, Elkin, NC 28621-2459 | 2018-09-21 |
| 1316315039 | Elizabeth W Lowrance | Nurse Practitioner | 500 Chatham Medical Park, Elkin, NC 28621 | 2015-09-11 |
| 1235514340 | Kathryn H Felts | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2015-07-30 |
| 1245614700 | Kasey Lee Gentry | Nurse Practitioner | 600 Chatham Medical Park, Elkin, NC 28621-2482 | 2015-07-15 |
| 1932451242 | Lory Elizabeth Puckett | Nurse Practitioner | 600 Chatham Medical Park, Elkin, NC 28621-2482 | 2012-10-10 |
| 1649525932 | Vicky Killen Anderson | Nurse Practitioner | 505 Samaritans Ridge Ct, Elkin, NC 28621-2457 | 2012-07-23 |
| Find all providers in ELKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.