Individual provider Active NPI

Mary Elaine Hummel, MSN, APRN-BC, FNP-C

  • Nurse Practitioner
  • Dahlonega, GA
National Provider Identifier
1558317560
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN053488 Issued in GA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
539432806CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919001456 GA Practitioner - Nurse Practitioner 4880813021 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Georgia Mountains Health Services, Inc. CurrentSince Jul 4, 2014 Accepting new patients
Georgia Mountains Health Services, Inc. Current Accepting new patients
Georgia Mountains Health Services, Inc. CurrentSince Jul 4, 2014 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

  • Direct secure messaging: elaine.hummel@gamtnhealth.gadirect.net
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.