Individual provider Active NPI

Tamila Gale Mayberry, P.A.-C.

  • Physician Assistant
  • Zanesville, OH
National Provider Identifier
1932125309
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1067 Issued in TN
Practice address
915 Putnam Ave
Zanesville, OH 43701-5547
Phone
(407) 891-9000
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.001988RX OH
Physician Assistant 363A00000X 1067 TN Primary

Addresses

Primary practice location

915 Putnam Ave
Zanesville, OH 43701-5547

Mailing address

33 S 5TH St
Zanesville, OH 43701-3510
Phone (740) 891-9000

Other practice location 1

450 Downtowner Plz
Coshocton, OH 43812-1929
Phone (740) 891-9000

Other practice location 2

5610 N Hamilton Rd
Gahanna, OH 43230-1324
Phone (614) 775-9870

Other identifiers 1

IdentifierTypeStateIssuer
0343562MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100804000770 TN Practitioner - Physician Assistant 4385777879 Reassigns benefits to 1 organization
I20190426002069 OH Practitioner - Physician Assistant 4385777879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

1330 Clark St
Cambridge, OH 43725-9614
Phone (740) 421-9530

716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000

859 N Main St
Malta, OH 43758-9007
Phone (740) 962-6111

915 Putnam Ave
Zanesville, OH 43701-5547
Phone (740) 487-9860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Feb 6, 2023 Accepting new patients
Muskingum Valley Health Centers CurrentSince Feb 6, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Apr 30, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Apr 30, 2018 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

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.

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1932125309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S 5TH ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013510",
            "telephone_number": "740-891-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PUTNAM AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437015547",
            "telephone_number": "407-891-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Downtowner Plz",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438121929",
            "country_code": "US",
            "telephone_number": "740-891-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 N Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301324",
            "country_code": "US",
            "telephone_number": "614-775-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "TAMILA",
        "middle_name": "GALE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001988RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.