Active NPI
Mary Sullivan Newell, M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1730107913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 50543
- Practice address
- 1365C Clifton Rd NE
Suite C1104
Atlanta, GA 30322-1013 - Phone
- (404) 778-4446
- Fax
- (404) 778-4747
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 050543 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 50543 | GA | Primary |
Addresses
Primary practice location
1365C Clifton Rd NE
Suite C1104
Atlanta, GA 30322-1013
Mailing address
1365C Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050543 | Other | GA | GA. MED. LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050543 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1730107913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365C CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-4446",
"fax_number": "404-778-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365C CLIFTON RD NE",
"address_2": "SUITE C1104",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-4446",
"fax_number": "404-778-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "MARY",
"middle_name": "SULLIVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "050543",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "50543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA. MED. LICENSE",
"identifier": "050543",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.