Active NPI
Mary Elaine Hummel, MSN, APRN-BC, FNP-C
- Nurse Practitioner
- Dahlonega, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN053488
- Practice address
- 134 Ansley Dr Ste 700
Dahlonega, GA 30533-1641 - Phone
- (706) 864-2155
- Fax
- (706) 374-7628
- NPI assigned
- May 25, 2006
- Last updated
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN053488 | GA | Primary |
Addresses
Primary practice location
134 Ansley Dr Ste 700
Dahlonega, GA 30533-1641
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539432806C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 Ansley Dr
Suite 700
Dahlonega, GA 30533-1641
Phone (706) 701-5001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Past | Accepting new patients |
Locations
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647
134 Ansley Dr
Ste 700
Dahlonega, GA 30533
Phone (706) 701-5001
153 School Dr
Dahlonega, GA 30533
Phone (706) 701-5001
Interoperability endpoints
- elaine.hummel@gamtnhealth.gadirect.net
- mary.hummel.1@20104.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Blue Ridge, GA
- NPI 1538123666
-
- Federally Qualified Health Center (FQHC)
- Dahlonega, GA
- NPI 1285057281
-
- Federally Qualified Health Center (FQHC)
- La Fayette, GA
- NPI 1932991791
-
- Federally Qualified Health Center (FQHC)
- Dahlonega, GA
- NPI 1962189449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1558317560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-5607",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 ANSLEY DR STE 700",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305331641",
"telephone_number": "706-864-2155",
"fax_number": "706-374-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "MARY",
"middle_name": "ELAINE",
"credential": "MSN, APRN-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN053488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539432806C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dahlonega, GA
- Hospital to Home Medical Transport LLC
- Hospital to Home Wheelchair Transport LLC
- Stacy Brunair Hubbard, PT,DPT,LSVT BIG/CERT
- Wanda Kim Hudson-Gallogly, RN, WHNP-BC
- Katelyn Huggins, ATC/LAT
- Carmen Quezada Hutson, LCSW
- In Motion Services, Inc.
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Georgia, LLC (Independent Physical Therapy of GA, LLC)
- Joanne Ingram, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.