Mary N Dotson – Family Nurse Practitioner

Key facts

NPI: 1508977240
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: RN085083 NP (GA)
Practice address: 21 Jefferson PL
Suite 1
Athens, GA 30601-1761
Phone: (706) 548-0058
Fax: (706) 548-0555
NPI assigned: Aug 31, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Athens Gastroenterology Center,PC Specialist · Athens, GA · NPI 1225237191

Medicare reassignment Care Compare group GA
Athens Endoscopy, LLC Endoscopy Clinic/Center · Athens, GA · NPI 1558662858

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Piedmont Athens Regional Medical Center, Inc. General Acute Care Hospital · Athens, GA · NPI 1437186111

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2000
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Athens Gastroenterology Center,PC (2 clinicians)

Practice addresses (Care Compare)

21 Jefferson PL
Suite 1
Athens, GA 30601-1761
Phone (706) 548-0058

Hospital & facility affiliations

Piedmont Athens Regional Medical Center Hospital · Athens, GA · CCN 110074

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20041210000440	GA	Practitioner - Nurse Practitioner	5890752950	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
RN085083 NP	GA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Athens Endoscopy, LLC		Past	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/DFDFDD/Endpoint/DFDFDD

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	RN085083 NP	GA	Yes

Addresses

Primary practice location

21 Jefferson PL
Suite 1
Athens, GA 30601-1761

Mailing address

498 Dotson Rd Ste 1
Statham, GA 30666-1902
Phone (770) 725-5174

Other providers in Athens, GA

All providers in Athens, GA · Family Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.