Mary Azuh

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

003159422A Issued in GA

Practice address

1069 Lakefield Walk
Marietta, GA 30064-5758

Phone

(770) 356-7597

Fax

(770) 726-7108

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxi Healthcare Services Inc

  • Nursing Care Agency
  • Marietta, GA
  • NPI 1801412705
  NPD Authorized official

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1366815383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 LAKEFIELD WALK",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645758",
            "telephone_number": "770-356-7597",
            "fax_number": "770-726-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 LAKEFIELD WALK",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645758",
            "telephone_number": "770-356-7597",
            "fax_number": "770-726-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUH",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "003159422A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159422A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellisha Ayeni
• Daniel T Ayers, P.A.-C
• Az Global Marketing Company, Inc.
• Ryan Azarkhail, MD
• Arif A Aziz, MD
• B & M Caring Hands LLC
• B Webb, Inc
• B. Wheeler Nutrition, LLC
• B. Young Nutrition & Wellness
• Emily Baas, MD

• Administrator Registered Nurse in Marietta, GA
• Providers in Marietta, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.