Individual provider Active NPI

Sharon Kay Mayberry, MD

  • Pediatric Orthopaedic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1053389981
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
348742 Issued in LA
Practice address
8200 Constantin Blvd FL 1
Baton Rouge, LA 70809-3481
Phone
(225) 765-5500
Fax
(225) 374-1670
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 19378 AL
Orthopaedic Surgery Physician 207X00000X ME143767 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X 348742 LA Primary

Addresses

Primary practice location

8200 Constantin Blvd FL 1
Baton Rouge, LA 70809-3481

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500

Other practice location 1

36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone (859) 416-1575

Other practice location 2

5153 N 9th Ave
Pensacola, FL 32504-8785
Phone (850) 416-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017001624 LA Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 9638385164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19378ALMDOrthopaedic Surgery Physician
ME143767FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Our Lady of the Lake Physician Group LLC Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Orthopaedic Specialists of Alabama, PC Orthopaedic Surgery PastSince Mar 18, 2003 Accepting new patients
Orthopaedic Specialists of Alabama PC Orthopaedic Surgery Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

8200 Constantin Blvd
#1
Baton Rouge, LA 70809

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8200 Constantin Blvd
Fl 1
Baton Rouge, LA 70809

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: smayberry5370780@direct.casso.us.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1053389981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CONSTANTIN BLVD FL 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093481",
            "telephone_number": "225-765-5500",
            "fax_number": "225-374-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36500 Emerald Coast Pkwy",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325414713",
            "country_code": "US",
            "telephone_number": "859-416-1575",
            "fax_number": "850-278-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5153 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048785",
            "country_code": "US",
            "telephone_number": "850-416-1575",
            "fax_number": "850-416-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "19378",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME143767",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "348742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.