DIXIE MAYBERRY PA
NPI 1184098832
Physician Assistant - Surgical in Marietta, GA

Active since November 18, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
818 CHURCH ST NE, MARIETTA, GA 30060(770) 590-4190(770) 590-4191 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2020, Nov 18, 2015 (2 updates tracked since 2015).

About Dixie Mayberry Pa NPPES

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

DIXIE MAYBERRY PA (NPI 1184098832) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (9782) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenwood, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184098832
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDIXIE MAYBERRYCredential: PA
Location Address818 CHURCH ST NEMarietta, GA 30060-8981
Mailing Address818 Church St NeMarietta, GA 30060-8981 · (770) 590-4190 · Fax (770) 590-4191
Fax(770) 590-4191
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 18, 2015
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
NPI 1184098832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in GA · 9782 Licensed in SC · 2476
818 CHURCH ST NE, Marietta, GA 30060

Secondary Practice Location 1

Location 1160 Academy AveGreenwood, SC 29646-3808 · Phone (864) 223-8090 · Fax (864) 223-4026

Other Identifiers 1

Medicaid2450PASC

Accepted Insurance

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

Dixie Mayberry Pa 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 ID1254635121
PECOS Enrollment IDI20201021000817
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
635 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services126 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
80 services72 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
43 services43 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
24 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physical Therapist
818 CHURCH ST NE
MARIETTA, GA 30060
Physical Therapist
818 CHURCH ST NE
MARIETTA, GA 30060
Physical Therapist
818 CHURCH ST NE
MARIETTA, GA 30060
Occupational Therapist
818 CHURCH ST NE
MARIETTA, GA 30060
Clinic/Center (Adolescent and Children Mental Health)
818 CHURCH ST NE
MARIETTA, GA 30060
Occupational Therapist
818 CHURCH ST NE
MARIETTA, GA 30060
Obstetrics & Gynecology
818 CHURCH ST NE
MARIETTA, GA 30060
Physical Therapist
818 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dixie Mayberry's NPI number?

The NPI number for Dixie Mayberry is 1184098832. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Dixie Mayberry located?

Dixie Mayberry practices at 818 Church St NE, Marietta, GA 30060. The listed phone number is (770) 590-4190.

What is Dixie Mayberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dixie Mayberry enrolled in Medicare?

Yes. Dixie Mayberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dixie Mayberry accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dixie Mayberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dixie Mayberry was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.