1. Home
  2. Directory
  3. Mississippi
  4. Brandon
  5. Dentist
  6. NPI Profile

DR. EDMOND SHAUN MAYATTE D.M.D.
NPI 1063505840
Dentist - General Practice in Brandon, MS

Active since October 02, 2006PECOS Enrolled
22 EASTGATE DR, BRANDON, MS 39042(601) 825-1105(601) 825-1984 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edmond Shaun Mayatte D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDMOND SHAUN MAYATTE D.M.D. (NPI 1063505840) is an individual general practice provider in Brandon, Mississippi, licensed in Mississippi (3156-00) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063505840
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDMOND SHAUN MAYATTECredential: D.M.D.
Location Address22 EASTGATE DRBrandon, MS 39042-2318
Mailing Address22 Eastgate DrBrandon, MS 39042-2318 · (601) 825-1105 · Fax (601) 825-1984
Phone(601) 825-1105
Fax(601) 825-1984
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063505840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3156-00
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
22 EASTGATE DR, Brandon, MS 39042
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edmond Shaun Mayatte D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA BRIDGES BURKE DMD
Dentist
22 EASTGATE DR
BRANDON, MS 39042
Rankin County (601) 825-1105
MAYATTE FAMILY DENTISTRY, LLC
Dentist (General Practice)
22 EASTGATE DR
BRANDON, MS 39042
Rankin County (601) 825-1105
WILL UMPHLETT DMD
Dentist
22 EASTGATE DR
BRANDON, MS 39042
Rankin County (601) 825-1105
DR. MELISSA CLAIRE MAYATTE D.M.D.
Dentist
22 EASTGATE DR
BRANDON, MS 39042
Rankin County (601) 825-1105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Mayatte's NPI number?

The NPI number for Edmond Mayatte is 1063505840. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Edmond Mayatte located?

Edmond Mayatte practices at 22 Eastgate Dr, Brandon, MS 39042. The listed phone number is (601) 825-1105.

What is Edmond Mayatte's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edmond Mayatte enrolled in Medicare?

Yes. Edmond Mayatte is registered in the Medicare PECOS enrollment system.

What insurance does Edmond Mayatte accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Edmond Mayatte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmond Mayatte was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.