Individual provider Active NPI

Beverly Lynn Mayo, FNP-C

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1487503553
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1229778 Issued in TX
Practice address
4501 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7843
Phone
(903) 408-5800
NPI assigned
Jan 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1229778 TX Primary

Addresses

Primary practice location

4501 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7843

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834

Other practice location 1

5000 I 30 E Ste 130
Fate, TX 75189-8848
Phone (469) 540-2482

Other practice location 2

4264 State Highway 66
Caddo Mills, TX 75135-6268
Phone (903) 527-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1229778TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Gebel, M.D., P.a. Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1487503553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017843",
            "telephone_number": "903-408-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 I 30 E Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fate",
            "state": "TX",
            "postal_code": "751898848",
            "country_code": "US",
            "telephone_number": "469-540-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4264 State Highway 66",
            "address_purpose": "LOCATION",
            "city": "Caddo Mills",
            "state": "TX",
            "postal_code": "751356268",
            "country_code": "US",
            "telephone_number": "903-527-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO",
        "first_name": "BEVERLY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1229778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.