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

Mr. Grayson Brent Mayberry

Individual provider Physician Assistant · NPI 1013589886

Mr. Grayson Brent Mayberry is a Physician Assistant in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone: (910) 662-9500
Fax: (910) 662-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11780 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1013589886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJanuary 19, 2022
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wilmington