Provider Demographics
NPI:1437101979
Name:MAYS, GREGORY CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:CHARLES
Last Name:MAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 MIDLAND TRL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-5511
Mailing Address - Country:US
Mailing Address - Phone:540-962-2020
Mailing Address - Fax:540-962-6297
Practice Address - Street 1:1802 MIDLAND TRL
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-5511
Practice Address - Country:US
Practice Address - Phone:540-962-2020
Practice Address - Fax:540-962-6297
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056393174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA180031130OtherRAILROAD MEDICARE
VA282566OtherBLUE CROSS/BLUE SHIELD
VA006304931Medicaid
VAG32761Medicare UPIN
VA180000726Medicare PIN