Active NPI
Mary Elizabeth Cahill, CPNP
- Pediatric Nurse Practitioner
- Marietta, GA
National Provider Identifier
1114901337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN083997
- Practice address
- 777 Franklin Rd SE
Marietta, GA 30067-7803 - Phone
- (770) 732-6007
- Fax
- (770) 732-8242
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN083997 | GA | Primary |
Addresses
Primary practice location
777 Franklin Rd SE
Marietta, GA 30067-7803
Mailing address
777 Franklin Rd SE
Marietta, GA 30067-7803
Phone (770) 732-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000813425D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN083997 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestros Ninos Our Kids Pediatrics Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mary.cahill@gadirect.net
Organizations & group practices 1
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.
-
- Pediatric Nurse Practitioner
- Marietta, GA
- NPI 1972756732
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1114901337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 FRANKLIN RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300677803",
"telephone_number": "770-732-6007",
"fax_number": "770-732-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 FRANKLIN RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300677803",
"telephone_number": "770-732-6007",
"fax_number": "770-732-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAHILL",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN083997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000813425D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.