Mary Kathryn Fichtinger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12412 Issued in GA

Practice address

1100 Spring St NW Ste 380
Atlanta, GA 30309-2854

Phone

(770) 383-1228

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfichtinger724598@direct.novanthealth.org

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.

• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1760950646
  Medicare reassignment
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Asheville, NC
  • NPI 1235014796
  NPD
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Greensboro, NC
  • NPI 1508741067
  NPD
• Beacon Health Care Services

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1083074942
  NPD (past)
• Carolina Medicorp Enterprises Inc

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1417497504
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1437245115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 BRIDAL TRL",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SPRING ST NW STE 380",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092854",
            "telephone_number": "770-383-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282105801",
            "country_code": "US",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICHTINGER",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08934",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfichtinger724598@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "520 S 7th St",
            "city": "Vincennes",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475911038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary@beaconhmscounseling.com",
            "affiliation": "Y",
            "affiliationName": "Beacon Health Care Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Spring St NW Ste 380",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303092854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Fetner
• Catherine Janet Fetterolf, ATR-BC
• Gerald A Feuer, M.D.
• Donna Fialkowski
• Fiat-Services LLC
• Essence Fiddemon, LPC
• Christina Fiddes, LCSW
• Fidelity Health Care LLC
• Fides Health Advocates, LLC
• Fides Healthcare Management and Consulting, LLC

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.