Individual provider Active NPI

Mary Kwee, APRN

  • Family Nurse Practitioner
  • Chatsworth, GA
National Provider Identifier
1275913840
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN205729 Issued in GA
Practice address
2976 Highway 76
Chatsworth, GA 30705-6981
Phone
(706) 517-0656
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN205729 GA Primary

Addresses

Primary practice location

2976 Highway 76
Chatsworth, GA 30705-6981

Mailing address

142 Stonecrest Dr
Rocky Face, GA 30740-9521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102002514 GA Practitioner - Nurse Practitioner 1355797937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Rhythm Specialists CurrentSince Sep 22, 2023 Accepting new patients

Locations

1600 Broadrick Dr
Dalton, GA 30720
Phone (706) 529-9301

Interoperability endpoints

  • Direct secure messaging: mkwee30235@hhcs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHGAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1275913840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 STONECREST DR",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307409521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 HIGHWAY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056981",
            "telephone_number": "706-517-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEE",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

Verify at the official NPI Registry.