MR. MARK MAYFIELD (NPI# 1902260318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902260318 |
| Entity Type | Individual |
| Full Name | MR. MARK MAYFIELD |
| Credential | A.T.C. |
| Practice Address |
611 Highway 74 S Suite 720 Peachtree City GA 30269-3081 |
| Mailing Address |
523 Brooks Woolsey Rd Fayetteville GA 30215-7031 |
| Practice Telephone | 6788776440 |
| Mailing Telephone | 6788776440 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000608 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567081 | Mark Stanley Mayfield | Family Medicine | 100 Bourland Rd Ste 150, Keller, TX 76248-3595 | 2006-07-26 |
| 1265714687 | Mark Aaron Mayfield | Counselor | 6180 Lehman Dr, Suite 100, Colorado Springs, CO 80918-3444 | 2011-09-12 |
| Street Address |
611 HIGHWAY 74 S SUITE 720 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558442087 | Colby Marshall Allen | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2006-10-18 |
| 1619424819 | Erik A Nelson | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2016-09-06 |
| 1649727983 | Anisha Mukhi | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2016-09-03 |
| 1043664741 | Jason Stevens | Specialist/Technologist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2016-04-19 |
| 1699129411 | Heather Miller | Specialist/Technologist | 611 Highway 74 S, Suite 270, Peachtree City, GA 30269-3081 | 2016-04-18 |
| 1821470709 | Matthew J Lindeman | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2015-06-26 |
| 1982002291 | Daniel Mcadams | Specialist/Technologist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2014-12-18 |
| 1003224171 | Christopher L Hendley | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2014-08-01 |
| 1326456435 | Joshua M Houseal | Physical Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2014-08-01 |
| 1386072106 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2013-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453390 | Deanna Simmons | Specialist/Technologist | 325 Aster Ridge Trl, Peachtree City, GA 30269-3047 | 2019-12-05 |
| 1518323054 | Adriana Acuna | Specialist/Technologist | 115 Rockspray Rdg, Peachtree City, GA 30269-2491 | 2016-01-13 |
| 1396393211 | Kaitlin Horne | Specialist/Technologist | 277 Highway 74 N Ste 203, Peachtree City, GA 30269-1571 | 2019-09-04 |
| 1619405438 | Katherine Hester | Specialist/Technologist | 1975 Highway 54 W Ste 210, Peachtree City, GA 30269-4794 | 2017-05-24 |
| 1043664741 | Jason Stevens | Specialist/Technologist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2016-04-19 |
| 1699129411 | Heather Miller | Specialist/Technologist | 611 Highway 74 S, Suite 270, Peachtree City, GA 30269-3081 | 2016-04-18 |
| 1760836787 | Zachery Louis Hasekoester | Specialist/Technologist | 277 Highway 74 N Ste 203, Peachtree City, GA 30269-1571 | 2016-04-15 |
| 1982002291 | Daniel Mcadams | Specialist/Technologist | 611 Highway 74 S, Suite 720, Peachtree City, GA 30269-3081 | 2014-12-18 |
| 1053672634 | Kimberly Jackson | Specialist/Technologist | 277 Highway 74 N, Ste 203, Peachtree City, GA 30269-1569 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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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.