Kohl M Mayberry (NPI# 1295028256, PAC ID# 4688808223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1295028256 |
| PAC ID by PECOS | 4688808223 |
| Professional Enrollment ID | I20131014001471 |
| Full Name | Kohl M Mayberry |
| Organization Legal Name | NORTH FLORIDA REGIONAL PSYCHIATRY, LLC |
| Address |
6500 W Newberry Rd Gainesville FL 32605-4309 |
| Phone Number | 3523334000 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1254550346 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 3523334000 | NORTH FLORIDA REGIONAL PSYCHIATRY, LLC |
| Organization Legal Name | NORTH FLORIDA REGIONAL PSYCHIATRY, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Almari Ginory | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Michael J Gower | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Marnie M Stefan Acta | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Daniel P Witter | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Sarah Mcmillen Fayad | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Robert C Eaton | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Michael R Johnson | Psychiatry | North Florida Regional Psychiatry, LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Street Address |
6500 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip | 32605-4309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William B Smith | Anesthesiology | Anesthesia Physician Solutions of North Florida LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Victoria C Mejia | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Dale Lee Taylor | Hospitalist | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | |
| Shawn Dooley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Abha Gupta | Internal Medicine | Hospital Internal Medicine Pa | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Yvette Bazikian | Internal Medicine | Hospital Internal Medicine Pa | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Irene M Mayer | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4300 | |
| Gillian M Vansluytman | Internal Medicine | Hospital Internal Medicine Pa | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Matthew Calestino | Internal Medicine | Hospital Internal Medicine Pa | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Heather M Reed | Anesthesiology | Anesthesia Physician Solutions of North Florida LLC | 6500 W Newberry Rd, Gainesville, FL 32605-4309 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farkhondeh Abdollahi | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Bruce Sack | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Rhoda M Chiarelli | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Margaret M Sack | Occupational Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Reginald Frank Johnson | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Robert D. Barnhill | Chiropractic | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 | |
| Kevin Michael Sutton | Chiropractic | Barnhill Clinic, P.a. | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 |
| Lauri Lyn Graham | Chiropractic | Barnhill Clinic, P.a. | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 |
| William S Barnett | Physical Therapy | 2730 Nw 39th Ave, Gainesville, FL 32605-2263 | |
| Nancy L Detweiler | Clinical Social Worker | 3113 Nw24th Ave, Gainesville, FL 32605-2722 | |
| Find all physicians in zip 32605 | |||
| City | GAINESVILLE |
| Zip Code | 32605 |
| Specialty | PSYCHIATRY |
| City + Specialty | GAINESVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Kohl M Mayberry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.