Active NPI
Mary L Wade, RN
- Registered Nurse
- Alpharetta, GA
National Provider Identifier
1609072024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN147070
- Practice address
- 3155 Royal Drive
Suite 125 North Fulton Regional Health Center
Alpharetta, GA 30022 - Phone
- (404) 332-1876
- NPI assigned
- Jun 22, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN147070 | GA | Primary |
Addresses
Primary practice location
3155 Royal Drive
Suite 125 North Fulton Regional Health Center
Alpharetta, GA 30022
Mailing address
99 Jessie Hill Jr Drive
RM 402 Aldrege Health Center
Atlanta, GA 30303
Phone (404) 730-1217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN147070 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609072024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JESSIE HILL JR DRIVE",
"address_2": "RM 402 ALDREGE HEALTH CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-730-1217",
"fax_number": "404-730-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 ROYAL DRIVE",
"address_2": "SUITE 125 NORTH FULTON REGIONAL HEALTH CENTER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30022",
"telephone_number": "404-332-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN147070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.