Mary Elizabeth Hardin, M.D.
Individual provider Active NPI Internal Medicine Physician · Jonesboro, GA
NPI 1073975009 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1073975009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 83423 (GA)
- Practice address
- 7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236 - Phone
- (770) 996-1122
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Laureate Medical Group at Northside, LLC
Practice addresses (Care Compare)
7823 Spivey Station Blvd
Suite 310
Jonesboro, GA 30236-2886
Phone (770) 996-1122
Hospital & facility affiliations
- Centerwell Home Health
- Northside Hospital
- Piedmont Hospital, Inc
- Southern Regional Medical Center
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.89 of 100
- Quality
- 76.16
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 70.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190918003674 | GA | Practitioner - Internal Medicine | 3375830524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laureate Medical Group at Northside LLC | Internal Medicine | Current |
Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284
1110 W Peachtree St NW
Ste 1100
Atlanta, GA 30309
Phone (404) 256-8500
7823 Spivey Station Blvd
Ste 310
Jonesboro, GA 30236
Phone (770) 989-6112
6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328
6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500
Interoperability endpoints
- maryhardin@lmg.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 83423 | GA | Yes |
Addresses
Primary practice location
7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236
Mailing address
7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236-2886
Phone (770) 996-1122
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maryhardin@lmg.allscriptsdirect.net | Direct |
Other providers in Jonesboro, GA
- Lynette G Hall
- Mahogany Hall
- Olivia Hamilton
- Victoria Anne Hamilton
- Nabila Hanyny
- Harmini Counseling, Coaching & Consulting LLC
- Tom Harmon
- Harmony Within
- Angie Harshaw Harris
- Dezmond Harris
All providers in Jonesboro, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.