Active NPI
Mary Grace B Nuega, NP
- Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1135487
- Practice address
- 1255 Highway 54 W
Fayetteville, GA 30214-4526 - Phone
- (404) 367-3014
- Fax
- (770) 942-7699
- NPI assigned
- Jul 11, 2018
- Last updated
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C-APN.0102426-C-NP | CO | |
| Nurse Practitioner | 363L00000X | RN157187 | GA | |
| Nurse Practitioner | 363L00000X | 1135487 | TX | Primary |
| Nurse Practitioner | 363L00000X | 291745 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | RN157187 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN157187 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN157187 | GA |
Addresses
Primary practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (678) 288-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MI, CA, FL, TX, NC, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1038 E Chapman Ave
Orange, CA 92866-2111
Phone (714) 771-4191
1244 Burkemont Ave
Morganton, NC 28655-4540
Phone (828) 439-0055
1299 E Commercial Blvd
Suite 201
Oakland Park, FL 33334-4806
Phone (720) 631-1142
1335 Stranssner Dr
Brentwood, MO 63144-1872
Phone (877) 367-9772
1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882
1515 Mockingbird LN
Suite 420
Charlotte, NC 28209-3236
Phone (855) 669-7843
2014 S Orange Ave
Suite 100
Orlando, FL 32806-3069
Phone (407) 649-1234
220 W Congress St
FL 2
Detroit, MI 48226-3289
Phone (855) 669-7843
2321 W Morehead St
Suite 102
Charlotte, NC 28208-5145
Phone (704) 335-0151
2494 2ND St
Macon, GA 31206-2151
Phone (478) 464-1872
6704 Park Ave
Allen Park, MI 48101-2034
Phone (855) 669-7843
8015 Shoal Creek Blvd
Suite 119
Austin, TX 78757-8052
Phone (855) 669-7843
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291745 | AZ | MD | Nurse Practitioner |
| C-APN.0102426-C-NP | CO | MD | Nurse Practitioner |
| 1135487 | TX | MD | Nurse Practitioner |
| RN157187 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare California, PC | Current | Accepting new patients | |
| Apc Holdings LLC | Nurse Practitioner | Current | Accepting new patients |
| FPM Holdings LLC | Nurse Practitioner | Current | Accepting new patients |
| FPM Holdings LLC | Nurse Practitioner | Current | Accepting new patients |
| Upperline Healthcare California PC | Nurse Practitioner | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Empowerme Medical Group, PC | Current | Accepting new patients | |
| Alan J Schram DPM PC | Current | Accepting new patients | |
| Village Podiatry Group II, LLC. | Nurse Practitioner | Current | Accepting new patients |
| Apc Holdings LLC | Nurse Practitioner | Current | Accepting new patients |
| Upperline Healthcare, PC | Nurse Practitioner | Current | Accepting new patients |
| Villagehealth DM LLC | Current | Accepting new patients | |
| Adcs Care Management 1 Inc | Current | Accepting new patients | |
| Vital Path Care PC | Nurse Practitioner | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Burbank Podiatry Asscociates Group a Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Current | Accepting new patients | |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Nurse Practitioner | Current | Accepting new patients |
| Access Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Adcs Care Management 2 Inc | Current | Accepting new patients | |
| Empowerme Medical Group, PC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients | |
| Iora Health Texas, PLLC | Past | Accepting new patients |
Locations (25 of 30)
241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561
345 F St
Ste 100
Chula Vista, CA 91910
Phone (619) 420-3555
308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556
16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100
2131 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 326-7355
728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-5614
1038 E Chapman Ave
Orange, CA 92866
Phone (714) 771-4191
1100 W Town and Country Rd
Ste 1600
Orange, CA 92868
Phone (323) 728-7232
9209 Colima Rd
Ste 4400
Whittier, CA 90605
Phone (562) 907-0777
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234
1299 E Commercial Blvd
Ste 201
Oakland Park, FL 33334
Phone (720) 631-1142
2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509
21 Hospital Dr
Ste 170A
Palm Coast, FL 32164
Phone (386) 586-7373
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882
6704 Park Ave
Allen Park, MI 48101
Phone (313) 386-7920
220 W Congress St
Fl 2
Detroit, MI 48226
Phone (313) 617-4646
15201 Olive Blvd
Chesterfield, MO 63017
Phone (636) 532-1515
1538 N Old Castle Rd
Nixa, MO 65714
Phone (417) 217-7099
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mary.grace.nuega.2@4399.direct.athenahealth.com
- marygrace.nuega.p1@direct.empowerme.nextgenshare.com
Organizations & group practices 26
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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
Nurse Practitioner
-
dba Fast Pace Health Case Management
- Nurse Practitioner
- Morganton, NC
- NPI 1508758285
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Brentwood, MO
- NPI 1811682107
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
Nurse Practitioner
-
- Podiatric Clinic/Center
- Orange, CA
- NPI 1225663826
Nurse Practitioner
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
FL, GA, MI, NC, Nurse Practitioner, TX
-
dba AVA Health Partners
- Family Medicine Physician
- Whittier, CA
- NPI 1750858510
-
- Podiatrist
- Allen Park, MI
- NPI 1427144724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1407342603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411071",
"telephone_number": "678-288-9555",
"fax_number": "678-288-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 54 W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144526",
"telephone_number": "404-367-3014",
"fax_number": "770-942-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUEGA",
"first_name": "MARY GRACE",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0102426-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN157187",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1135487",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "291745",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN157187",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN157187",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN157187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.