Mary Elizabeth Lopez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN247035 Issued in GA

Practice address

1025 Redbird Rd
Augusta, GA 30904-3181

Phone

(706) 830-3135

NPI assigned

Apr 18, 2020

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Augusta Medical Care LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1619209905
  Medicare reassignment NPD
• Augusta Obstetrics and Gynecology Specialists, LLC

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1952499014
  NPD (past)
• Helping Hands Hospice LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1013251123
  NPD (past)

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1699395749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 REDBIRD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043181",
            "telephone_number": "706-830-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REDBIRD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043181",
            "telephone_number": "706-830-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN247035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Loomis, MD
• Vanessa Kim Looney, PHARM D
• Rosa Maria Lopez Rincon
• Allison Lopez
• Mark Daniel Lopez, MD
• Nicole Samira Lopez
• Olivia Lopez, LCGC
• William Lopez, D.M.D.
• Sabrina Maria Lora Penson, MD
• Alexander Hartman Lorch Jr., M.D.

• Family Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.