Mabry Medical Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MABRY MEDICAL SERVICES, LLC

Practice address

4929 N Main St Ste 206
Acworth, GA 30101-5323

Phone

(678) 471-6983

Fax

(678) 403-2310

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Lori Alexander Mabry, RMA, PCT, AST, MSHSNPI 1780297960

Title

Ceo/Owner/Provider

Phone

(678) 471-6983

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Alexander Mabry, PHIC, RMA, RPT, CPCT

  • Home Health Aide
  • Acworth, GA
  • NPI 1780297960
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1104573625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 N MAIN ST STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015323",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 N MAIN ST STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015323",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABRY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO/OWNER/PROVIDER",
        "authorized_official_telephone_number": "678-471-6983",
        "authorized_official_credential": "RMA, PCT, AST, MSHS"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Luman
• Tammy Ann Lupien, P.T.A.
• Jenna Lutes
• Luxottica of America Inc. (Target Optical #2154)
• Brittany Lynch, RN
• Lori Alexander Mabry, PHIC, RMA, RPT, CPCT
• Victoria Maclean
• Christopher Daniel Maddox, PT, DPT, ATC
• Kadian K Magerl
• Vivian Maier

• Home Health Agency in Acworth, GA
• Providers in Acworth, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.