Dr. Edwin Aylette Mayo , MD
Specialist • St Simons Island, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Mayo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edwin Mayo, MD was a registered Specialist practicing in St Simons Island, GA. Throughout an active medical career spanning 17 years, Dr. Mayo provided care at the practice location at 1213 BEACHVIEW DR until profile deactivation on 2025-10-16.
Practice Location & Contact Primary Location
1213 Beachview Dr
St Simons Island, GA 315224206
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in St Simons Island, GA
Practicing in St Simons Island, GA (979 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 16, 2025
NPI status registered as active in NPPES database
Registered at 1213 BEACHVIEW DR, ST SIMONS ISLAND, GA 315224206 (Tel: 9126381412)
Registered at 1213 BEACHVIEW DR, ST SIMONS ISLAND, GA 315224206 (Tel: 9126381412)
Recorded as EDWIN MAYO, M.D.
Specialist (License #10812 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1213 Beachview Dr
St Simons Island, GA 315224206
Phone: 9126381412
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