Mary Caroline Lumpkin, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN181046 Issued in GA

Practice address

85 John Maddox Drive Connector NW
Rome, GA 30165-1233

Phone

(762) 235-2990

Fax

(706) 238-8031

NPI assigned

Apr 1, 2010

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mary Caroline Gillis Other name

Electronic endpoints 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.lumpkin.1@1498.direct.athenahealth.com
• Direct secure messaging: mlumpkin3004867@carolinashealthcaresystem.direct-ci.com

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.

• Harbin Clinic, LLC

  dba Harbin Clinic

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  Medicare reassignment
• Harbin Clinic, LLC

  dba Harbin GI

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1447385158
  NPD

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1144545146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 JOHN MADDOX DRIVE CONNECTOR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651233",
            "telephone_number": "762-235-2990",
            "fax_number": "706-238-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN181046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357325167B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357325167C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357325167A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.lumpkin.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "330 Turner McCall Blvd SW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301655630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.lumpkin.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "85 John Maddox Drive Connector NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GILLIS",
            "middle_name": "CAROLINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mildred Lowry, RDH
• Shannon T Loy, PT
• Katie Lubelski
• Adedamola Lufadeju, MD
• Shu Kwun Lui, M.D.
• Alyssa E Luthi, OT
• Luxottica Retail North America Inc (Sears Optical #C0040)
• Martin Joseph Lynch, MD
• Patrick Jay Lynn, MD
• Rebecca Sekulich Lynn

• Nurse Practitioner in Rome, GA
• Providers in Rome, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.