Mary Fulp-Pye, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001211 Issued in GA

Practice address

3541 N Crossing Cir
Valdosta, GA 31602-1019

Phone

(229) 244-4200

Fax

(229) 244-4995

NPI assigned

Jul 21, 2005

Last updated

Mar 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valdosta Psychiatric Associates, LLCGroup PAC ID 6305832650, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valdosta Psychiatric Associates, LLC

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1336282144

  Clinical

  Medicare reassignment Care Compare group NPD
• Livingstone a. Rasalam, M.D. P.C.

  dba Pathway Wellness Center

  • Specialist
  • Valdosta, GA
  • NPI 1952343634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1003816935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3229",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043229",
            "telephone_number": "229-244-4200",
            "fax_number": "229-244-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 N CROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021019",
            "telephone_number": "229-244-4200",
            "fax_number": "229-244-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULP-PYE",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000974311B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Freeze
• Edward John Fricker, MD
• Teri Friedman
• Barbara Faye Frier, LCSW
• Frederick H Fritzsche, MD
• G. Saurina, MD PC
• Gainesville Vamc
• Amy Gaiss
• Kayla Brooke Gaither, M.ED. CF-SLP
• Jordan Ganas

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.