Active NPI
Mary J Charlot, FNP-C
- Family Nurse Practitioner
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 187056
- Practice address
- 2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062 - Phone
- (770) 927-7341
- Fax
- (888) 700-9062
- NPI assigned
- Feb 1, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 187056 | GA | Primary |
Addresses
Primary practice location
2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062
Mailing address
618 Thornton Rd Ste 3-440
Lithia Springs, GA 30122-1518
Phone (770) 927-7341
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187056 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients | |
| Piedmont Orthopedics, LLC | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1110
Atlanta, GA 30339
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516
695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
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 and National Provider Directory roles.
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1578802286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 THORNTON RD STE 3-440",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221518",
"telephone_number": "770-927-7341",
"fax_number": "888-700-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 HIGHWAY 92 FAIRBURN RD STE F",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351062",
"telephone_number": "770-927-7341",
"fax_number": "888-700-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLOT",
"first_name": "MARY",
"middle_name": "J",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "187056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
- Champions ABA Therapy Center
- Christina Michelle Chan-Pong, PT, DPT
- Chanan Foundation, Inc.
- Changing Lives Today
- Charles G. McKelveyiii, O.D., P.C
- Margaret Mary Chastain, R.PH.
- Annah Chii Chung
- Children'S Heart Specialists of Georgia, P.C.
- Kristen Childress-Brown, RBT
- Rohini Krishna Chintalapally, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
- 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.