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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOGAN ELIZABETH MAYBERRY
NPI 1275375842
Physician Assistant in Urbana, OH

Active since June 12, 2024
900 SCIOTO ST STE 4, URBANA, OH 43078(937) 653-4666 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Aug 31, 2026, Jun 12, 2024 (3 updates tracked since 2024).

About Logan Elizabeth Mayberry NPPES

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

LOGAN ELIZABETH MAYBERRY (NPI 1275375842) is an individual physician assistant in Urbana, Ohio, licensed in Ohio (50.010572RX) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1275375842
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLOGAN ELIZABETH MAYBERRY
Location Address900 SCIOTO ST STE 4Urbana, OH 43078-2251
Mailing Address900 Scioto St Ste 4Urbana, OH 43078-2251
Phone(937) 653-4666
Sole ProprietorYes
Enumeration DateJune 12, 2024
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1275375842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.010572RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 SCIOTO ST STE 4, Urbana, OH 43078
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Other Providers at the Same Location NPPES 6

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

MERCY HEALTH PHYSICIANS SPRINGFIELD PRIMARY CARE LLC
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (888) 696-3541
MRS. KAREN STAATS FNP-C
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. ANN-MARIE DORN BROWNE MD
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MRS. HILLARY DIANE PULLINS FNP-C
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. JOAQUIN LLADO-FRAZER M.D.
Internal Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MS. KAREN J SMITH FNP
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666

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 Logan Mayberry's NPI number?

The NPI number for Logan Mayberry is 1275375842. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Logan Mayberry located?

Logan Mayberry practices at 900 Scioto St Ste 4, Urbana, OH 43078. The listed phone number is (937) 653-4666.

What is Logan Mayberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Logan Mayberry was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.