Individual provider Active NPI

Mary Megan Ayres Massey, MD

  • Surgery Physician
  • Dalton, GA
National Provider Identifier
1053847129
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
111467 Issued in GA
Practice address
1504 Broadrick Dr
Dalton, GA 30720-3011
Phone
(706) 278-6403
Fax
(706) 278-0087
NPI assigned
May 10, 2017
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0000065798 TN
Surgery Physician 208600000X 111467 GA Primary

Addresses

Primary practice location

1504 Broadrick Dr
Dalton, GA 30720-3011

Mailing address

1504 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-6403

Other names 1

  • Mary Megan Massey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250307003503 NC Practitioner - General Surgery 9133640063 Reassigns benefits to 2 organizations
I20260605000452 GA Practitioner - General Surgery 9133640063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians

Practice addresses (Care Compare)

1504 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-6403

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000065798TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Dec 22, 2024 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince May 22, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC Surgery CurrentSince Dec 22, 2024 Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients

Locations

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1053847129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "MARY",
        "middle_name": "MEGAN AYRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "0000065798",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "111467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MASSEY",
            "middle_name": "MEGAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.