Active NPI
Maryann Forbes, NP-C
- Family Nurse Practitioner
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN212247
- Practice address
- 610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9762 - Phone
- (706) 205-2804
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | RN212247 | GA | Primary |
Addresses
Primary practice location
610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9762
Mailing address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201002345 | GA | Practitioner - Nurse Practitioner | 9638569890 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLCNorthside Urgent Care Holding LLC
Practice addresses (Care Compare)
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
1780 Peachtree Pkwy
Suite 302
Cumming, GA 30041-6834
Phone (770) 772-1830
81 Northside Dawson Dr
Suite 100a
Dawsonville, GA 30534-7166
Phone (706) 216-6000
Hospital & facility affiliations
- Northside Hospital Forsyth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN212247 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Express Care LLC | Current | Accepting new patients | |
| Physician'S Express Care at Towne Lake LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Physician'S Express Care at Creekstone | Current | Accepting new patients | |
| Northside Urgent Care Holding, LLC | Current | Accepting new patients | |
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| Newco Gi LLC | Past | Accepting new patients | |
| Gi North PC | Past | Accepting new patients |
Locations
1780 Peachtree Pkwy
#302
Cumming, GA 30041
Phone (470) 275-6230
610 Peachtree Pkwy
Ste 130
Cumming, GA 30041
Phone (770) 205-2804
1400 Northside Forsyth Dr
Ste 210
Cumming, GA 30041
Phone (678) 288-5864
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000
2730 Peachtree Industrial Blvd
Ste 101
Duluth, GA 30097
Phone (404) 548-8850
11758 Jones Bridge Rd
Johns Creek, GA 30005
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
900 Towne Lake Pkwy
Ste 104
Woodstock, GA 30189
Phone (770) 639-5880
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
GA
-
- Urgent Care Clinic/Center
- Woodstock, GA
- NPI 1902230329
GA
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
-
- Urgent Care Clinic/Center
- Cumming, GA
- NPI 1578955795
-
- Gastroenterology Physician
- Cumming, GA
- NPI 1750689964
-
- Gastroenterology Physician
- Cumming, GA
- NPI 1073999066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1689347668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NORTHSIDE FORSYTH DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417659",
"telephone_number": "770-844-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PEACHTREE PKWY STE 130",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419762",
"telephone_number": "706-205-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "MARYANN",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2022-01-26",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN212247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.