DAVID W. JR. MAYS (P.A.) – Physician Assistant, NPI 1083025316

DAVID W. JR. MAYS (P.A.) is a healthcare provider. based in Fort wayne, Indiana. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 10001687A (IN). The NPI Number for DAVID W. JR. MAYS (P.A.) is 1083025316

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DAVID W. JR. MAYS (P.A.)
NPI
1083025316
Phone
(260) 266-1700
Address
11109 PARKVIEW PLAZA DR
Enumeration Date
8 May 2014
Last Update Date
28 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6800014564
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20140822000381
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for DAVID W. JR. MAYS (P.A.)

  • 11109 PARKVIEW PLAZA DR

    FORT WAYNE, IN 468451701

    Phone: (260) 266-1700

    Type: Location

  • 3946 Ice Way

    Fort Wayne, IN 468051018

    Phone: (260) 266-7400

    Type: Location

  • 608 UNION CHAPEL RD

    FORT WAYNE, IN 468459357

    Phone:

    Type: Mailing

  • 3702 NEW VISION DR BLDG B

    FORT WAYNE, IN 468451703

    Phone:

    Type: Mailing

  • 8 JOHN KISSINGER DR

    WABASH, IN 469921648

    Phone: (260) 563-2126

    Fax: (260) 569-2494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140822000381IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making4038$0
99285Emergency department visit with high level of medical decision making3634$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

Can I verify DAVID W. JR. MAYS (P.A.) with an NPI only?
You can start verification with NPI 1083025316 for DAVID W. JR. MAYS (P.A.), then check state licensing separately.
Does CMS list DAVID W. JR. MAYS (P.A.) as active?
Yes — DAVID W. JR. MAYS (P.A.) is active in the NPI listing used on this page.
What taxonomy line describes DAVID W. JR. MAYS (P.A.)?
For research purposes, treat DAVID W. JR. MAYS (P.A.) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID W. JR. MAYS (P.A.)?
DAVID W. JR. MAYS (P.A.)'s geographic hint is Fort Wayne, Indiana in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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