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CARL C MAYBERRY PHYSICIANS ASSISTANT
NPI 1538241567
Physician Assistant - Medical in Houston, TX

Active since October 19, 2006PECOS Enrolled
4900 FANNIN ST, HOUSTON, TX 77004(713) 526-9821(713) 526-4680 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carl C Mayberry Physicians Assistant NPPES

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

CARL C MAYBERRY PHYSICIANS ASSISTANT (NPI 1538241567) is an individual medical provider in Houston, Texas, licensed in Texas (PA01360) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538241567
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCARL C MAYBERRYCredential: PHYSICIANS ASSISTANT
Location Address4900 FANNIN STHouston, TX 77004-5706
Mailing Address4900 Fannin StHouston, TX 77004-5706 · (713) 446-3018 · Fax (713) 526-4680
Phone(713) 526-9821
Fax(713) 526-4680
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1538241567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA01360
4900 FANNIN ST, Houston, TX 77004
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Other Identifiers 1

Medicare PIN8C7359TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl C Mayberry Physicians Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

DR. JOSEPH CLAYTON GATHE JR. M.D.
Internal Medicine (Infectious Disease)
4900 FANNIN ST
HOUSTON, TX 77004
Harris County (713) 526-9821
THERAPEUTIC CONCEPTS, P.A.
Clinic/Center (Infusion Therapy)
4900 FANNIN ST
HOUSTON, TX 77004
Harris County (713) 522-2273
JOSEPH C.GATHE,JR.,M.D.,P.A,
Internal Medicine (Infectious Disease)
4900 FANNIN ST
HOUSTON, TX 77004
Harris County (713) 526-9821

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 Carl Mayberry's NPI number?

The NPI number for Carl Mayberry is 1538241567. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Carl Mayberry located?

Carl Mayberry practices at 4900 Fannin St, Houston, TX 77004. The listed phone number is (713) 526-9821.

What is Carl Mayberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carl Mayberry enrolled in Medicare?

Yes. Carl Mayberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Mayberry was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.