Mary Rose Paris, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN128162 Issued in GA

Practice address

3000 Hospital Blvd
Anesthesia Department
Roswell, GA 30076-4915

Phone

(770) 751-2623

Fax

(770) 751-2627

NPI assigned

Apr 17, 2006

Last updated

Jan 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mparis@nationalspine.emadirect.md

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.

• North Fulton Anesthesia Associates PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467445262
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1043274806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21116 LAMPLIGHT DRIVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30362",
            "telephone_number": "770-645-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "telephone_number": "770-751-2623",
            "fax_number": "770-751-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN128162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000829573A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500015982",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Palmieri, D.C.
• Alexandra Pancich-Martinez
• Taylor Papworth
• Richard E Pare, MD
• Kapil Pareek, MD
• Hannah Park, M.D.
• Peter Min Park, PT
• Susanna Park, RDN
• Azia Parker, RBT
• Peyton Parker, DPT

• Family Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.