Individual provider Active NPI

Marie Witcher, ARNP

  • Nurse Practitioner
  • Perry, GA
National Provider Identifier
1356159107
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP254416 Issued in GA
Practice address
1117 Morningside Dr
Perry, GA 31069-2905
Phone
(478) 287-6049
Fax
(478) 224-1646
NPI assigned
Dec 26, 2024
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP254416 GA Primary

Addresses

Primary practice location

1117 Morningside Dr
Perry, GA 31069-2905

Mailing address

1117 Morningside Dr
Perry, GA 31069-2905
Phone (478) 287-6049

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
I20260528004574 GA Practitioner - Nurse Practitioner 4981174174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N.T. Cardiovascular Center, PCGroup PAC ID 7618034265, 10 clinicians

Practice addresses (Care Compare)

1117 Morningside Dr
Perry, GA 31069-2905
Phone (478) 224-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP254416GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N.T. Cardiovascular Center, PC CurrentSince Apr 13, 2026 Accepting new patients
Georgia Cardiology Center, LLC PastSince Apr 13, 2026 Accepting new patients

Locations

1117 Morningside Dr
Perry, GA 31069
Phone (478) 287-6049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA

Organizations & group practices 2

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1356159107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-287-6049",
            "fax_number": "478-224-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-287-6049",
            "fax_number": "478-224-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCHER",
        "first_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP254416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.