Individual provider Active NPI

Mary Grace B Nuega, NP

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1407342603
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1135487 Issued in TX
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190111000803 GA Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 7 organizations
I20221019002922 MI Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 5 organizations
I20230612002729 CA Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 3 organizations
I20240212002856 FL Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 4 organizations
I20240423002694 TX Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 1 organization
I20240819001496 NC Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 3 organizations
I20250506001700 MO Practitioner - Nurse Practitioner 2466798418 Reassigns benefits to 1 organization

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
Apc Holdings LLCGroup PAC ID 8921507443, 16 clinicians
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians
Empowerme Medical Group PCGroup PAC ID 7214392059, 13 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Adcs Care Management 1 IncGroup PAC ID 5395247316, 21 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

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

LicenseStateTypeSpecialty
291745AZMDNurse Practitioner
C-APN.0102426-C-NPCOMDNurse Practitioner
1135487TXMDNurse Practitioner
RN157187GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare California, PC CurrentSince Jan 23, 2024 Accepting new patients
Apc Holdings LLC Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
FPM Holdings LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
FPM Holdings LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Upperline Healthcare California PC Nurse Practitioner CurrentSince Jan 23, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 1, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Apr 24, 2025 Accepting new patients
Alan J Schram DPM PC CurrentSince Feb 1, 2026 Accepting new patients
Village Podiatry Group II, LLC. Nurse Practitioner CurrentSince Jan 15, 2025 Accepting new patients
Apc Holdings LLC Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Villagehealth DM LLC CurrentSince Mar 7, 2022 Accepting new patients
Adcs Care Management 1 Inc CurrentSince Jul 25, 2025 Accepting new patients
Vital Path Care PC Nurse Practitioner CurrentSince Oct 13, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Burbank Podiatry Asscociates Group a Professional Corporation Nurse Practitioner CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Nurse Practitioner CurrentSince Jan 15, 2025 Accepting new patients
Access Primary Care Physicians, Inc. CurrentSince May 15, 2023 Accepting new patients
Adcs Care Management 2 Inc CurrentSince Jul 25, 2025 Accepting new patients
Empowerme Medical Group, PC CurrentSince Apr 24, 2025 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 PastSince Oct 12, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mary.grace.nuega.2@4399.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 26

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

Verify at the official NPI Registry.