Mary Lou Surber, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN190884 Issued in GA

Practice address

6509 Gateway Rd
Columbus, GA 31909-5681

Phone

(706) 243-0174

NPI assigned

Jun 28, 2021

Last updated

Jul 24, 2026By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.surber.1@28559.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Afc Physicians of Georgia Primary Care, PC

  • Primary Care Clinic/Center
  • Fort Oglethorpe, GA
  • NPI 1083005565
  NPD
• Afc Physicians of Georgia Primary Care, PC

  • Primary Care Clinic/Center
  • Fort Oglethorpe, GA
  • NPI 1780062380
  NPD
• KMC Family Care PC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1306545975
  NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  NPD
• Afc Physicians of Georgia Urgent Care, PC

  • Urgent Care Clinic/Center
  • Marietta, GA
  • NPI 1225617525
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1548830086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 ALLEN LAKE RD",
            "city": "WAVERLY HALL",
            "state": "GA",
            "postal_code": "318312944",
            "telephone_number": "703-431-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 GATEWAY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095681",
            "telephone_number": "706-243-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBER",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN190884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Sung, RBT
• Sunlight Psychiatric Services, PC
• Sunshine Cna Solutions
• Jai Surana, M.D.
• Joseph G Surber, DO
• Surgical Associates of Columbus PC
• Evan Sussenbach, M.D.
• Summer Sutherlen, BCABA
• Brenda G Sutley, OT
• Elizabeth Banowsky Swain

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.