Mary A. Lias, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN165023 Issued in GA

Practice address

118 N. McDonald St.
Ludowici, GA 31316

Phone

(912) 545-9893

NPI assigned

Mar 28, 2013

Last updated

Mar 28, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• South Coastal Counseling Inc

  • Community/Behavioral Health Agency
  • Ludowici, GA
  • NPI 1851631048
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1154664126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTH MCDONALD ST.",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "31316",
            "telephone_number": "912-545-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N. MCDONALD ST.",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "31316",
            "telephone_number": "912-545-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAS",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN165023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Elizabeth Hartley, APRN, FNP-C
• Consuela Maria Henry, LCSW
• Janee D Hodges
• Hospital Authority of Liberty County (Coastal Manor Nursing HOme)
• Wynesha Desiree Johnican-Smith, RN
• Long County Board of Education
• Long County Board of Health (Long County Health Department)
• Long County Health Center
• Ludowici Drugs
• Stephanie Lund

• Registered Nurse in Ludowici, GA
• Providers in Ludowici, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.