Individual provider Active NPI

Gregory Franklin Mayberry, MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1215285754
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.3646R Issued in AL
Practice address
3525 Independence Dr
Birmingham, AL 35209-5709
Phone
(205) 971-2475
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.3646R AL Primary

Addresses

Primary practice location

3525 Independence Dr
Birmingham, AL 35209-5709

Mailing address

3525 Independence Dr
Birmingham, AL 35209-5709
Phone (205) 971-2475

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.mayberry.1@9954.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151007000510 AL Practitioner - Family Practice 3274784442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

3525 Independence Dr
Birmingham, AL 35209-5709
Phone (205) 971-3500

Hospital & facility affiliations

  • Amedisys Hospice of Birmingham Hospice, Homewood, AL, CCN 011527
  • Amedisys Hospice of Mobile Hospice, Mobile, AL, CCN 011567
  • Amedisys Hospice of Florence Hospice, Florence, AL, CCN 011669
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.3646RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

3525 Independence Dr
Homewood, AL 35209
Phone (205) 802-6700

Interoperability endpoints

  • Direct secure messaging: gregory.mayberry.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aseracare Hospice - MobileMobile, AL, CCN 011567 Hospice W-2 Managing Employee Feb 1, 2025
Amedisys Hospice of FlorenceFlorence, AL, CCN 011669 Hospice Contracted Managing Employee Jun 2, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1215285754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095709",
            "telephone_number": "205-971-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095709",
            "telephone_number": "205-971-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "GREGORY",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.3646R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.mayberry.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3525 Independence Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352095709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.