Individual provider Active NPI

Mary Elizabeth Florio, NP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1720763394
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN279617 Issued in GA
Practice address
300 Bullsboro Dr Ste BC
Newnan, GA 30263-1680
Phone
(770) 683-3230
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN279617 GA Primary

Addresses

Primary practice location

300 Bullsboro Dr Ste BC
Newnan, GA 30263-1680

Mailing address

2110 Powers Ferry Rd SE Ste 302
Atlanta, GA 30339-5015
Phone (404) 307-4061

Other practice location 1

371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372
Phone (470) 419-4380

Other practice location 2

550 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-9082
Phone (678) 782-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN279617GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beltline Bariatric and Surgical Group LLC CurrentSince Sep 3, 2016 Accepting new patients
Beltline Weight Loss LLC PastSince Jun 25, 2023 Accepting new patients

Locations

2110 Powers Ferry Rd SE
Ste 302
Atlanta, GA 30339
Phone (470) 419-4380

371 E Paces Ferry Rd NE
Ste 750
Atlanta, GA 30305
Phone (470) 419-4380

300 Bullsboro Dr
Ste Bc
Newnan, GA 30263
Phone (470) 419-4380

550 Eagles Landing Pkwy
Ste 204
Stockbridge, GA 30281
Phone (470) 419-4380

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1720763394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 POWERS FERRY RD SE STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395015",
            "telephone_number": "404-307-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BULLSBORO DR STE BC",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631680",
            "telephone_number": "770-683-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 E Paces Ferry Rd NE Ste 750",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052372",
            "country_code": "US",
            "telephone_number": "470-419-4380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Eagles Landing Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819082",
            "country_code": "US",
            "telephone_number": "678-782-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORIO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN279617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.