Individual provider Active NPI

Mary McGee Hopper, MD

  • Pediatrics Physician
  • Gainesville, GA
National Provider Identifier
1669975116
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
91874 Issued in GA
Practice address
1485 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3802
Phone
(770) 534-5255
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.38888 AL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 91874 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

Other practice location 1

1550 College St
Macon, GA 31207-1500
Phone (478) 301-2600

Other practice location 2

1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526002016 AL Practitioner - Pediatric Medicine 7719386630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.38888ALMDPediatrics Physician
91874GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Jun 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2021 Accepting new patients
Pediatric Associates LLP Pediatrics PastSince Sep 20, 2022 Accepting new patients

Locations

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1669975116",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 College St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312071500",
            "country_code": "US",
            "telephone_number": "478-301-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-638-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "MARY",
        "middle_name": "MCGEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.38888",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "91874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.