DR. SAMANTHA ARIEL MAYBERRY DC
NPI 1164883526
Chiropractor in Springfield, IL

Q: What is Samantha Mayberry's NPI number?

The NPI number for Samantha Mayberry is 1164883526. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Samantha Mayberry's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Mayberry was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2016Accepts Medicare Assignment

7012 KINGSMILL CT, SPRINGFIELD, IL 62711(217) 483-1551 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samantha Ariel Mayberry Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA ARIEL MAYBERRY DC (NPI 1164883526) is an individual chiropractor in Springfield, Illinois, licensed in Illinois (038012923) and active in the NPI registry since March 2016. She is a graduate of Logan College Of Chiropractic (2015).

NPPES Registry Identity

NPI1164883526

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAMANTHA ARIEL MAYBERRYCredential: DC

Location Address7012 KINGSMILL CTSpringfield, IL 62711-7387

Mailing Address7012 Kingsmill CtSpringfield, IL 62711-7387 · (217) 483-1551

Phone(217) 483-1551

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2015

Enumeration DateMarch 14, 2016

Last NPPES UpdateApril 2, 2018

✔ NPI 1164883526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038012923

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7012 KINGSMILL CT, Springfield, IL 62711

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Ariel Mayberry Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698073237

PECOS Enrollment IDI20160414000398

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

398 services36 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC

Chiropractor