Mary Anne Elizabeth Short, APC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC006568 Issued in GA

Practice address

2964 Peachtree Rd NW Ste 760
Atlanta, GA 30305-2220

Phone

(404) 200-0352

NPI assigned

Sep 27, 2018

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

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 and National Provider Directory roles.

• Grow Counseling

  • Professional Counselor
  • Atlanta, GA
  • NPI 1154734309
  NPD (past)
• Grow Heal Live Lead LLC

  • Counseling Psychologist
  • Atlanta, GA
  • NPI 1376858100
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1467937227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 MONTVIEW DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 PEACHTREE RD NW STE 760",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052220",
            "telephone_number": "404-200-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Maxwell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092031",
            "country_code": "US",
            "telephone_number": "404-200-0352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MARY ANNE",
        "middle_name": "ELIZABETH",
        "credential": "APC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Short, MD
• James Bernard Short Jr., MD
• Jamie Keith Short, M.D.
• Jennifer Short, PA
• Louise Joy Short, MD
• Brenda Shorter, NP-C, NNP-BC
• Hannah Shotwell, RN
• Nikky Shotwell, DDS
• Roy Lucien Shouse, M.D.
• Rebecca Showalter, NP

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.