Active NPI
Mary Beth McGann, MD.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Shreveport, LA
National Provider Identifier
1477565323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 025072
- Practice address
- 7607 Fern Ave Ste 204D
Shreveport, LA 71105-5699 - Phone
- (318) 797-3350
- Fax
- (318) 797-3353
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 025072 | LA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 025072 | LA | Primary |
Addresses
Primary practice location
7607 Fern Ave Ste 204D
Shreveport, LA 71105-5699
Mailing address
10120 Thornwood Cir
Shreveport, LA 71106-7679
Phone (318) 286-4917
Other practice location 1
7607 Fern Avenue
Suite 204
Shreveport, LA 71105
Phone (318) 797-3350
Other names 1
- Mary Beth Valiulis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 20, 2012 through Oct 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025072 | LA | MD | Psychiatry Physician |
Interoperability endpoints
- mary.mcgann@242685375086596.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1477565323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 THORNWOOD CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067679",
"telephone_number": "318-286-4917",
"fax_number": "318-797-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7607 FERN AVE STE 204D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055699",
"telephone_number": "318-797-3350",
"fax_number": "318-797-3353"
}
],
"practiceLocations": [
{
"address_1": "7607 Fern Avenue",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "71105",
"country_code": "US",
"telephone_number": "318-797-3350",
"fax_number": "318-797-3353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGANN",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "025072",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "LA",
"license": "025072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "VALIULIS",
"middle_name": "BETH",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.