Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dixie Mayberry, PA

Individual provider Surgical Physician Assistant · NPI 1184098832

Dixie Mayberry, PA is a Physician Assistant in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
11
Licensed in
GA, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

818 Church St NE
Marietta, GA 30060-8981
Phone: (770) 590-4190
Fax: (770) 590-4191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 Academy Ave, Greenwood, SC 29646-3808 — (864) 223-8090

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9782 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2476 (SC)

Record details

NPI number1184098832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2015
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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