Lori Alexander Mabry, PHIC, RMA, RPT, CPCT

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

Y8J9Y5Z9 Issued in GA

Practice address

4929 N Main St Ste 206
Acworth, GA 30101-5323

Phone

(678) 471-6983

Fax

(678) 403-2310

NPI assigned

Aug 26, 2020

Last updated

Jun 23, 2023By 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

Other names 1

• Lori Alexander Mabry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Medical Assistant

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.

• Acworth Community Hospice LLC

  • Community Based Hospice Care Agency
  • Acworth, GA
  • NPI 1164112561
  NPD Authorized official
• Mabry Medical Services, LLC

  • Home Health Agency
  • Acworth, GA
  • NPI 1104573625
  NPD Authorized official
• Acworth Durable Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Acworth, GA
  • NPI 1508556713
  Authorized official Same address or phone

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1780297960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VALLEY FARM LN",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301021777",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 N MAIN ST STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015323",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "LORI",
        "middle_name": "ALEXANDER",
        "credential": "PHIC, RMA, RPT, CPCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "Y8J9Y5Z9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MABRY",
            "middle_name": "ALEXANDER",
            "credential": "PHIC, RMA, RPT, CPCT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tammy Ann Lupien, P.T.A.
• Jenna Lutes
• Luxottica of America Inc. (Target Optical #2154)
• Brittany Lynch, RN
• Mabry Medical Services, LLC
• Victoria Maclean
• Christopher Daniel Maddox, PT, DPT, ATC
• Kadian K Magerl
• Vivian Maier
• Jordan Manns

• Home Health Aide in Acworth, GA
• Providers in Acworth, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.