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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK LAWRENCE MAYER M.D., FAAP
NPI 1639136559
Pediatrics - Adolescent Medicine in Middlebury, VT

Active since April 26, 2006
44 COLLINS DR, SUITE 202, MIDDLEBURY, VT 05753(802) 388-1338(802) 388-8244 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Lawrence Mayer M.d., Faap NPPES

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

DR. JACK LAWRENCE MAYER M.D., FAAP (NPI 1639136559) is an individual adolescent medicine provider in Middlebury, Vermont, licensed in Vermont (042-0004728) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1639136559
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JACK LAWRENCE MAYERCredential: M.D., FAAP
Location Address44 COLLINS DR, SUITE 202Middlebury, VT 05753-8528
Mailing Address44 Collins Dr, Suite 202Middlebury, VT 05753-8528 · (802) 388-1338 · Fax (802) 388-8244
Phone(802) 388-1338
Fax(802) 388-8244
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639136559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in VT · 042-0004728
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
44 COLLINS DR, Middlebury, VT 05753
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Other Identifiers 3

Medicaid0004626VT
Other26P885Mvp Id#
Other4626VT · Bcvt

Other Providers at the Same Location NPPES 9

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

DR. PATRICE PETERSON COLANDER M.D.
Pediatrics (Adolescent Medicine)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338
LESLIE GERDINIER ORELUP FNP
Nurse Practitioner (Family)
44 COLLINS DR, SUITE 201
MIDDLEBURY, VT 05753
Addison County (802) 388-1500
DR. TAWNYA KIERNAN M.D.
Pediatrics (Adolescent Medicine)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338
BENJAMIN WALDEN FOX MA, MHC
Counselor (Mental Health)
44 COLLINS DR
MIDDLEBURY, VT 05753
Addison County (802) 388-7959
DR. KATE HELEN MCINTOSH M.D.
Pediatrics (Adolescent Medicine)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338
MONICA BENJAMIN
Nurse Practitioner (Family)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338
RAINBOW PEDIATRICS
Pediatrics (Adolescent Medicine)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338
MS. LAUREN ELIZABETH YOUNG F.N.P
Nurse Practitioner (Family)
44 COLLINS DR, SUITE 202
MIDDLEBURY, VT 05753
Addison County (802) 388-1338

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 Jack Mayer's NPI number?

The NPI number for Jack Mayer is 1639136559. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jack Mayer located?

Jack Mayer practices at 44 Collins Dr Suite 202, Middlebury, VT 05753. The listed phone number is (802) 388-1338.

What is Jack Mayer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jack Mayer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.