Mary A Byrd

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003059 Issued in GA

Practice address

1102 Smith Ave
Thomasville, GA 31792-5739

Phone

(229) 225-4335

Fax

(229) 225-4374

NPI assigned

Apr 9, 2007

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 names 1

• Molly Byrd Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164545430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MINNIE SHAW RD",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316206050",
            "telephone_number": "229-896-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925739",
            "telephone_number": "229-225-4335",
            "fax_number": "229-225-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MARY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BYRD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie L Bush, PAC
• Sallie Daniele Bussey, NP
• Courtney Cathleen Butler, PT, DPT
• Lindsay Hogan Butler, M.ED. CCC-SLP
• Jeff W Byrd, M.D.
• C R of Thomasville LLC
• Patricia Calloway
• Rachelle Hickcox Cantin, PH.D.
• Cardiology Consultants of South Georgia, PC
• John Bennett Carico, M.D.

• Professional Counselor in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.