Kevin Mayberry, PA-C
NPI 1669780078 · Medical Physician Assistant · Fort Campbell, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Mayberry, PA-C is a Medical Physician Assistant provider in Fort Campbell, KY (NPI 1669780078).
Provider details
- NPI number
- 1669780078
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Kevin Mayberry's NPI number?
- Kevin Mayberry's National Provider Identifier (NPI) is 1669780078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Mayberry's specialty?
- Kevin Mayberry is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Mayberry located?
- Kevin Mayberry's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Kevin Mayberry's phone number?
- The practice phone number listed in the NPPES registry for Kevin Mayberry is (270) 798-3969.
- Does Kevin Mayberry accept Medicare?
- Kevin Mayberry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Mayberry's NPI active?
- Yes — Kevin Mayberry's NPI (1669780078) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.