Active NPI
Mary Mendelson
- Registered Nurse
- Peachtree Corners, GA
National Provider Identifier
1841103579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001318361
- Practice address
- 3965 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-2203 - Phone
- (770) 450-8677
- Fax
- (678) 792-8927
- NPI assigned
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001318361 | VA | Primary |
Addresses
Primary practice location
3965 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-2203
Mailing address
5418 Ardmore Dr
Winter Park, FL 32792-7554
Phone (770) 450-8677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1841103579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5418 ARDMORE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327927554",
"telephone_number": "770-450-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 HOLCOMB BRIDGE RD STE 100",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922203",
"telephone_number": "770-450-8677",
"fax_number": "678-792-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001318361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.