MEDICARE: MISS LEANNE MAYS PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA200002536	DC
2	363A00000X	Physician Assistant	PA9112003	FL
3	363A00000X	Physician Assistant	PA921	KY
4	363A00000X	Physician Assistant	0110004685	VA
5	363A00000X	Physician Assistant	PA09251	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831107713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LEANNE MAYS PAC

Provider Business Mailing Address
First Line	:	2333 ALEXANDRIA DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3215
Country	:	US
Telephone Number	:	800-320-9765
Fax Number	:

Provider Business Practice Location Address
First Line	:	4910 MASSACHUSETTS AVE NW STE 114
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-4384
Country	:	US
Telephone Number	:	855-850-0638
Fax Number	:	855-474-8005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	06/03/2026

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Directions to “ MISS LEANNE MAYS PAC” Practice Location

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