Mary B. Jahr, CPNP-PC, PMHS-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

138345 Issued in GA

Practice address

3911 Mary Eliza Trce NW
Suite 200
Marietta, GA 30064-1086

Phone

(678) 384-3480

Fax

(678) 384-3481

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary B Hammock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marybhammockjahr@healthystepspediatrics.opdirect.net

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.

• Healthy Collaborations LLC

  • Pediatric Occupational Therapist
  • Marietta, GA
  • NPI 1467936559
  NPD
• Healthy Steps Pediatrics, LLC

  • Primary Care Clinic/Center
  • Marietta, GA
  • NPI 1548567019
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1720136476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 MARY ELIZA TRCE NW STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641089",
            "telephone_number": "678-384-3480",
            "fax_number": "678-384-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 MARY ELIZA TRCE NW",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641086",
            "telephone_number": "678-384-3480",
            "fax_number": "678-384-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHR",
        "first_name": "MARY",
        "middle_name": "B.",
        "credential": "CPNP-PC, PMHS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "138345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978436D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HAMMOCK",
            "middle_name": "B",
            "credential": "CPNP-PC, PMHS-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Jacobson, CCC-SLP
• Nelson Jacquet, PA
• Jads Services Inc.
• Christy Jaffe, PH.D.
• Sandeep Jaglan, M.D.
• Joseph Jakowski, M.D.
• Rabia Jalalzai
• Laura Carolyn Jalbert, LCSW
• Jaleb Healthcare LLC
• Byron P Jamerson, RPSGT, RST, CCSH

• Pediatric Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.