Individual provider Active NPI

Mary Kate McBee, APRN

  • Family Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1710657861
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN236683 Issued in GA
Practice address
903 Ward St W
Douglas, GA 31533-3517
Phone
(912) 260-1191
Fax
(912) 260-1193
NPI assigned
Sep 20, 2021
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN236683 GA Primary
Family Medicine Physician 207Q00000X RN236683 GA

Addresses

Primary practice location

903 Ward St W
Douglas, GA 31533-3517

Mailing address

1492 Harrell Grove Church Rd
Douglas, GA 31535-3800
Phone (478) 397-1487

Other practice location 1

1901 W Screven St
Quitman, GA 31643-3913
Phone (731) 394-1145

Other names 1

  • Mary Kate Goodman Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103002546 GA Practitioner - Nurse Practitioner 9335599315 Reassigns benefits to 2 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
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians

Practice addresses (Care Compare)

1901 W Screven St
Quitman, GA 31643-3913
Phone (731) 394-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN236683GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Nov 29, 2023 Accepting new patients

Locations

903 Ward St W
Douglas, GA 31533
Phone (912) 260-1191

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1710657861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 HARRELL GROVE CHURCH RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315353800",
            "telephone_number": "478-397-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333517",
            "telephone_number": "912-260-1191",
            "fax_number": "912-260-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Screven St",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "GA",
            "postal_code": "316433913",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBEE",
        "first_name": "MARY",
        "middle_name": "KATE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236683",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN236683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GOODMAN",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.