Active NPI
Paul Alan Mabry, M.D.
- Family Medicine Physician
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H2549
- Practice address
- 809 Gallagher Dr Ste D
Sherman, TX 75090-1754 - Phone
- (903) 771-2846
- Fax
- (037) 712-8499
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H2549 | TX | Primary |
Addresses
Primary practice location
809 Gallagher Dr Ste D
Sherman, TX 75090-1754
Mailing address
809 Gallagher Dr Ste D
Sherman, TX 75090-1754
Phone (903) 771-2846
Other practice location 1
Office of the State Surgeon
Bldg. 40-4, Watervliet Arsenal
Watervliet, NY 12189-4050
Phone (518) 796-4598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2549 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galileo Medical Group Ga, P.C. | Family Medicine | Current | Accepting new patients |
| Grayson County Health Clinic | Current | Accepting new patients |
Locations
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
64 Bleecker St
New York, NY 10012
Phone (302) 313-1584
809 Gallagher Dr
Ste D
Sherman, TX 75090
Phone (903) 771-2846
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- paul.mabry@450368864321540.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/HIEDCA
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Sherman, TX
- NPI 1891122198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1457322208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 GALLAGHER DR STE D",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901754",
"telephone_number": "903-771-2846",
"fax_number": "037-712-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 GALLAGHER DR STE D",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901754",
"telephone_number": "903-771-2846",
"fax_number": "037-712-8499"
}
],
"practiceLocations": [
{
"address_1": "Office of the State Surgeon",
"address_2": "Bldg. 40-4, Watervliet Arsenal",
"address_purpose": "LOCATION",
"city": "Watervliet",
"state": "NY",
"postal_code": "121894050",
"country_code": "US",
"telephone_number": "518-796-4598",
"fax_number": "518-796-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABRY",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H2549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.