GOMA MAYBERRY
NPI 1588101174
Nurse Practitioner - Family in Ormond Beach, FL

Active since January 20, 2017PECOS EnrolledAccepts Medicare Assignment
773 RIVERSIDE DR, ORMOND BEACH, FL 32176(386) 795-2457 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Goma Mayberry NPPES

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

GOMA MAYBERRY (NPI 1588101174) is an individual family provider in Ormond Beach, Florida, licensed in Florida (RN9308893) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588101174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGOMA MAYBERRY
Location Address773 RIVERSIDE DROrmond Beach, FL 32176-7878
Mailing Address773 Riverside DrOrmond Beach, FL 32176-7878 · (386) 795-2457
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 20, 2017
NPI 1588101174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · RN9308893
773 RIVERSIDE DR, Ormond Beach, FL 32176

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

Goma Mayberry 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 ID7517242878
PECOS Enrollment IDI20170329000286
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services102 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.
55 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Goma Mayberry's NPI number?

The NPI number for Goma Mayberry is 1588101174. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Where is Goma Mayberry located?

Goma Mayberry practices at 773 Riverside Dr, Ormond Beach, FL 32176. The listed phone number is (386) 795-2457.

What is Goma Mayberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Goma Mayberry enrolled in Medicare?

Yes. Goma 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.

Is Goma Mayberry affiliated with any hospitals?

According to CMS data, Goma Mayberry is affiliated with Halifax Health Medical Center and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Goma Mayberry was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.