Mary Mercedes Pettignano, A.A.

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

002574 Issued in GA

Practice address

5730 Glenridge
Suite 300
Atlanta, GA 30328

Phone

(404) 250-1153

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

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

• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  NPD (past)
• Atlanta Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1336104926
  NPD (past)
• Children'S Anesthesiology Consultants, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1447357868
  NPD (past)
• Dekalb Anesthesia Associates, P a

  • Anesthesiology Physician
  • Decatur, GA
  • NPI 1528004538
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1063520237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 BUCKHEAD AVE NE",
            "address_2": "1404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052672",
            "telephone_number": "404-983-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-250-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGNANO",
        "first_name": "MARY",
        "middle_name": "MERCEDES",
        "credential": "A.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002574",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHETIST",
            "identifier": "367H00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Petros, M.D.
• Sarah G Petruccelli-Bedgood
• Jesse Petrucci
• Rutubula Pettaway, LCSW
• Dorothy Boling Petters, LPC
• Robert Pettignano, MD
• Michelle Ann Pettigrew, APC
• Roderic Ivan Pettigrew, M.D.
• Whitney Aryn Pettigrew, LCSW
• Marianne Pettis

• Anesthesiologist Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.