Mary Lou Devaul - Eshleman, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

68402 Issued in GA

Practice address

605 Osborne St
St Marys, GA 31558-1331

Phone

(919) 946-2702

NPI assigned

Jan 25, 2007

Last updated

Mar 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Community Service Board of Middle Georgia

  dba Community Mental Health Center of Middle Georgia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dublin, GA
  • NPI 1689657637
  Medicare reassignment NPD
• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  Medicare reassignment NPD
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1124183082
  Medicare reassignment
• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Department of Behavioral Health and Developmental Disabilities

  dba East Central Regional Hospital

  • Psychiatric Hospital
  • Augusta, GA
  • NPI 1093046005
  NPD
• Faith Psychiatry LLC

  • Clinical Psychologist
  • Millen, GA
  • NPI 1114880127
  NPD
• Pocahontas Memorial Hospital

  dba Pocahontas Memorial Hospital Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buckeye, WV
  • NPI 1821621632
  NPD
• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1013289255
  NPD (past)
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Carrollton, GA
  • NPI 1760546543
  NPD (past)
• David J. Humphreys, MD, Psychiatrist Inc.

  • Psychiatry Physician
  • Huntington, WV
  • NPI 1891954384
  NPD (past)
• Evergreen Behavioral Management Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whiteville, NC
  • NPI 1790860971
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1104972025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OSBORNE ST",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588410",
            "telephone_number": "919-946-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OSBORNE ST",
            "city": "ST MARYS",
            "state": "GA",
            "postal_code": "315581331",
            "telephone_number": "919-946-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUL - ESHLEMAN",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "68402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelynn Davis
• Grant Christopher Degravelle, DPT, PT
• Nicole D Demick
• Anushka Adil Desai
• Judy Ann Deshea, OTR/L
• Madison Raine Dewar
• Dezz, Inc (New Horizons Medical Supplies)
• Jimmy Diaz, MD
• Winston E Dill, JDPHDPSYDDNP
• Donald Scott Dills, LDO

• Psychiatry Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.