Andrew W Mayberry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28086 Issued in AZ

Practice address

890 W 4TH St
Benson, AZ 85602-6437

Phone

(520) 586-3664

Fax

(520) 586-3486

NPI assigned

Jun 8, 2006

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

University of Arizona College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiricahua Community Health Centers IncGroup PAC ID 5395638878, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
• Home Health Safford, LLC Home health agency, Safford, AZ, CCN 037815
• Benson Hospital Hospital, Benson, AZ, CCN 031301
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.mayberry.p1@direct.cchci.nextgenshare.com

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

• Chiricahua Community Health Centers, Inc

  dba Business Office

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1942241443
  Medicare reassignment Care Compare group NPD
• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Medicare reassignment NPD
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment NPD
• Benson Hospital Corporation

  • Rural Health Clinic/Center
  • Vail, AZ
  • NPI 1457924920
  NPD
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1821309089
  NPD
• Chiricahua Community Health Centers, Inc.

  dba Willcox Clinic

  • Federally Qualified Health Center (FQHC)
  • Willcox, AZ
  • NPI 1285488866
  NPD
• Chiricahua Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1629499397
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Sierra Vista, AZ
  • NPI 1912291139
  Care Compare affiliation
• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation
• Home Health Safford, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Safford, AZ
  • NPI 1154915015
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1629019260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-6852",
            "fax_number": "520-364-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026437",
            "telephone_number": "520-586-3664",
            "fax_number": "520-586-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 S Ocotillo Ave",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "AZ",
            "postal_code": "856026406",
            "country_code": "US",
            "telephone_number": "520-586-4040",
            "fax_number": "520-364-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "28086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Lukenda, M.D.
• Naomi A Maakestad, FNP-C, CFRN
• Gregory Alan Marvel, PH.D.
• Billye Nell Matthews, LM
• Megan Sara Matz, M.D.
• Carter Mayberry, MD
• Kevin McCrane
• Mary Quinn McFarlin, NURSE PRACTITIONER
• Jennie Elise McMillian, LPC, MA
• Douglas Eugene Miller, R.PH.

• Family Medicine Physician in Benson, AZ
• Providers in Benson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.