Individual provider Active NPI

Mary Beth McGann, MD.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Shreveport, LA
National Provider Identifier
1477565323
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
025072 Issued in LA
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

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 025072 LA
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
025072LAMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.