Active NPI
Mary M Aspin, M.D. MSPH
- Pediatrics Physician
- Gainesville, GA
National Provider Identifier
1639184328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 87484
- Practice address
- 1485 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3802 - Phone
- (770) 534-5255
- Fax
- (770) 287-3871
- NPI assigned
- Jul 30, 2006
- Last updated
- Jan 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A45716 | CA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | A45716 | CA | |
| Pediatrics Physician | 208000000X | 87484 | GA | Primary |
Addresses
Primary practice location
1485 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3802
Mailing address
1485 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3802
Phone (770) 534-5255
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87484 | GA | MD | Pediatrics Physician |
| A45716 | CA | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates LLP | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Gainesville, GA
- NPI 1245406719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1639184328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 JESSE JEWELL PKWY NE STE 200",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013802",
"telephone_number": "770-534-5255",
"fax_number": "770-287-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 JESSE JEWELL PKWY NE STE 200",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013802",
"telephone_number": "770-534-5255",
"fax_number": "770-287-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASPIN",
"first_name": "MARY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D. MSPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A45716",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CA",
"license": "A45716",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "87484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.