Active NPI
Mary Parrish
- Pediatric Nurse Practitioner
- Ringgold, GA
National Provider Identifier
1831785013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 202017248
- Practice address
- 7494 Battlefield Pkwy
Ringgold, GA 30736-7306 - Phone
- (706) 935-5437
- Fax
- (706) 935-3004
- NPI assigned
- Dec 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202017248 | GA | Primary |
Addresses
Primary practice location
7494 Battlefield Pkwy
Ringgold, GA 30736-7306
Mailing address
7494 Battlefield Pkwy
Ringgold, GA 30736-7306
Phone (706) 935-5437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202017248 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringgold Pediatric Clinic, P.C. | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- mary.parrish.1@29980.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1831785013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7494 BATTLEFIELD PKWY",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307367306",
"telephone_number": "706-935-5437",
"fax_number": "706-935-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7494 BATTLEFIELD PKWY",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307367306",
"telephone_number": "706-935-5437",
"fax_number": "706-935-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-12",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "202017248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.