Mary Elizabeth Powell, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN259235 Issued in GA

Practice address

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908

Phone

(770) 457-4401

NPI assigned

Feb 24, 2022

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1962944900
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1235885559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 PEACHTREE INDUSTRIAL BLVD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411908",
            "telephone_number": "770-457-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 PEACHTREE INDUSTRIAL BLVD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411908",
            "telephone_number": "770-457-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perimeter Pediatrics
• Margaret Grace Peterson, RD
• Sandra Petrakis-Childs, L.C.S.W., L.M.F.T.
• Jacqueline Tuyen Pham, DMD
• Elaine Marie Poirier-Elliott, PNP
• Premier Family Clinic
• Publix Super Markets, Inc. (Publix Pharmacy #1777)
• Kay Starr Rachelson, L.C.S.W.
• Radiant Smiles Dental of Chamblee LLC
• Kim Chau Raharja, O.D.

• Family Nurse Practitioner in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.