Healthcare Provider Details

I. General information

NPI: 1811420854
Provider Name (Legal Business Name): ASHLEY MAYS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY GREGORY MD

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 HENNESSY BLVD
BATON ROUGE LA
70808-4375
US

IV. Provider business mailing address

3004 MANDOLIN DR
KISSIMMEE FL
34744-9145
US

V. Phone/Fax

Practice location:
  • Phone: 225-765-7163
  • Fax:
Mailing address:
  • Phone: 504-235-1179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME141128
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number324527
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: