Individual provider Active NPI

Mary S Batson, REGISTERED NURSE

  • Home Health Registered Nurse
  • Union City, GA
National Provider Identifier
1154900363
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN200102 Issued in GA
Practice address
6740 Shannon Pkwy Ste 34
Union City, GA 30291-2058
Phone
(770) 256-9898
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN200102 GA Primary

Addresses

Primary practice location

6740 Shannon Pkwy Ste 34
Union City, GA 30291-2058

Mailing address

7110 Hania Dr
Fairburn, GA 30213-3145
Phone (770) 256-9898

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

State licenses

LicenseStateTypeSpecialty
RN200102GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Healthcare Services LLC Home Health CurrentSince Jan 21, 2022 Accepting new patients

Locations

6740 Shannon Pkwy
Ste 34
Union City, GA 30291
Phone (770) 256-9898

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1154900363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 HANIA DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133145",
            "telephone_number": "770-256-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 SHANNON PKWY STE 34",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912058",
            "telephone_number": "770-256-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATSON",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN200102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.