Active NPI
Mara Stewart, MEDICAL BILLING
- Contractor
- Lithonia, GA
National Provider Identifier
1164920229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 36551219
- Practice address
- 1231 Old Greystone Dr
Lithonia, GA 30058-2956 - Phone
- (678) 469-6790
- Fax
- (404) 796-7830
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 36551219 | GA | Primary |
Addresses
Primary practice location
1231 Old Greystone Dr
Lithonia, GA 30058-2956
Mailing address
1231 Old Greystone Dr
Lithonia, GA 30058-2956
Phone (678) 469-6790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821925568 | Other | GA | MEDICAL BILLER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36551219 | GA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1164920229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 OLD GREYSTONE DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300582956",
"telephone_number": "678-469-6790",
"fax_number": "404-796-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 OLD GREYSTONE DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300582956",
"telephone_number": "678-469-6790",
"fax_number": "404-796-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARA",
"name_prefix": "Mrs.",
"credential": "MEDICAL BILLING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "GA",
"license": "36551219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BILLER",
"identifier": "821925568",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.