MAYS MEDICAL WELLNESS, LLC
NPI 1649790437
Clinic/Center - Primary Care in Southaven, MS

Active since June 22, 2017CLIA 25D2136510 · Certificate of Compliance
3964 GOODMAN RD E STE 128, SOUTHAVEN, MS 38672(662) 655-0456(662) 655-0457 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Sep 21, 2021, Jun 22, 2017 (3 updates tracked since 2017).

About Mays Medical Wellness, Llc NPPES

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

MAYS MEDICAL WELLNESS, LLC (NPI 1649790437) is a healthcare organization registered as a primary care in Southaven, Mississippi and active in the NPI registry since June 2017. The organization holds a CLIA Certificate of Compliance certificate valid through January 16, 2027 and lists Tracey L. Mays, Fnp, as its authorized official.

NPPES Registry Identity

NPI1649790437
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAYS MEDICAL WELLNESS, LLC
Location Address3964 GOODMAN RD E STE 128Southaven, MS 38672-6494
Mailing Address3964 Goodman Rd E Ste 128Southaven, MS 38672-6494 · (662) 655-0456 · Fax (662) 655-0457
Fax(662) 655-0457
Organization SubpartNo
Authorized OfficialTracey L. MaysFnp · (662) 655-0456
Enumeration DateJune 22, 2017
Last NPPES UpdateMarch 1, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1649790437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3964 GOODMAN RD E STE 128, Southaven, MS 38672

Other Identifiers 1

Medicaid001870621MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D2136510

Mays Medical Wellness, LLC · Southaven, MS
Active · expires Jan 16, 2027
CLIA Number25D2136510
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorDavid E. Sharp
Laboratory Phone(662) 655-0456
Laboratory LocationMays Medical Wellness, LLC3964 Goodman Rd E Ste 128, Southaven, MS 38672
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
3964 GOODMAN RD E STE 128
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3964 GOODMAN RD E STE 128
SOUTHAVEN, MS 38672

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 Mays Medical Wellness, LLC's NPI number?

The NPI number for Mays Medical Wellness, LLC is 1649790437. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Mays Medical Wellness, LLC located?

Mays Medical Wellness, LLC is located at 3964 Goodman Rd E Ste 128, Southaven, MS 38672. The listed phone number is (662) 655-0456.

What is Mays Medical Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mays Medical Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2136510) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mays Medical Wellness, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mays Medical Wellness, LLC 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 Mays Medical Wellness, LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.