Jesse Ray Mayo, FNP-C - Medicare Nurse Practitioner in Cumming, GA

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Jesse Ray Mayo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northside Primary Care Professional Services,llc and his current practice location is 3850 Windermere Pkwy Ste 105, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 455-2800.

Jesse Ray Mayo is licensed to practice in Georgia (license number RN169618 NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730485194.

Contact Information

Jesse Ray Mayo, FNP-C
3850 Windermere Pkwy Ste 105,
Cumming, GA 30041-7033
(678) 455-2800
(770) 888-9998

Map and Direction




Provider's Profile

Full NameJesse Ray Mayo
GenderMale
SpecialityNurse Practitioner
Experience22 Years
Location3850 Windermere Pkwy Ste 105, Cumming, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jesse Ray Mayo graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1730485194
  • Provider Enumeration Date: 02/02/2011
  • Last Update Date: 08/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2668631656
  • Enrollment ID: I20120312000119

Medical Identifiers

Medical identifiers for Jesse Ray Mayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730485194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN169618 NP (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Primary Care Professional Services,llc9638343924313

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesse Ray Mayo allows following entities to bill medicare on his behalf.
Entity NameCarrollton Emergency Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790724672
PECOS PAC ID: 7416860010
Enrollment ID: O20040122001028
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NameMurphy Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700053865
PECOS PAC ID: 7416856547
Enrollment ID: O20170327001473

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Ray Mayo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesse Ray Mayo, FNP-C
241 Old Rome Rd,
Kingston, GA 30145-2107

Ph: (706) 299-0241		Jesse Ray Mayo, FNP-C
3850 Windermere Pkwy Ste 105,
Cumming, GA 30041-7033

Ph: (678) 455-2800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.