Mary Lisa Huber, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

GA036399 Issued in GA

Practice address

3520 Piedmont Rd NE Ste 350
Atlanta, GA 30305-1582

Phone

(404) 240-4218

Fax

(404) 240-4218

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 3, 2016 through Feb 3, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Startkinetik, LLC

  • Clinic/Center
  • Atlanta, GA
  • NPI 1215813936

  Psychiatry

  NPD Authorized official
• Peachtree Psychiatric Professionals PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1891822235
  NPD (past) Authorized official
• Peachtree Psychiatric Professionals, PC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1427170745
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1619007192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051582",
            "telephone_number": "404-240-4218",
            "fax_number": "404-240-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051582",
            "telephone_number": "404-240-4218",
            "fax_number": "404-240-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MARY",
        "middle_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "GA036399",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "GA036399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE NUMBER",
            "identifier": "GA036399",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gundula J Huber, PA
• Janet B Huber, MD
• Kelly Huber
• Kelly Marie Huber, NP
• Kristin Lucas Huber, DMD
• Michal Hubka, MD
• Tara Michelle Hubler, PNP-AC
• Huckins Healthcare, PC
• Tina Michelle Huckins-White, D.C.
• Olivia Louise Hucks

• Child & Adolescent Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

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

Verify at the official NPI Registry.