Marie Angella Pitt, NP

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

License

RN258707 Issued in GA

Practice address

2989 W Rock Quarry Rd
Buford, GA 30519-4118

Phone

(770) 932-4614

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508566787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 ROYAL MUSTANG WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395912",
            "telephone_number": "678-865-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 W ROCK QUARRY RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194118",
            "telephone_number": "770-932-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "MARIE",
        "middle_name": "ANGELLA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "GA",
            "license": "RN258707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physio Electrodiagnostics LLC
• Physiotherapy Associates Inc
• Pie Medical International, Inc.
• Kimberly Pineda
• Pinnacle Wellness Co. LLC
• Amy Willis Pitts, FNP
• Play2Learn Therapy Center LLC
• Plug Locs LLC
• Monica Christine PO, PA-C
• Denise Podeszwa

• Prison Health Clinic/Center in Buford, GA
• Providers in Buford, GA by specialty
• Prison Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.