Individual provider Active NPI

Maryah Renee Truss, FNP-BC

  • Family Nurse Practitioner
  • East Point, GA
National Provider Identifier
1851951958
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN301563 Issued in GA
Practice address
3088 Washington Rd
East Point, GA 30344-4566
Phone
(470) 444-3135
Fax
(404) 777-9336
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9227 WI
Family Nurse Practitioner 363LF0000X 209019333 IL
Family Nurse Practitioner 363LF0000X RN301563 GA Primary

Addresses

Primary practice location

3088 Washington Rd
East Point, GA 30344-4566

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-8296

Other practice location 2

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone (414) 805-6850

Other practice location 3

2732 Candler Rd
Decatur, GA 30034-1410
Phone (470) 444-3133

Other practice location 4

7028 Highway 85
Riverdale, GA 30274-2946
Phone (470) 444-3136

Other practice location 5

1263 Moreland Ave SE
Atlanta, GA 30316-3183
Phone (470) 444-3137

Other practice location 6

1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306
Phone (470) 444-3134

Other practice location 7

1631 Gordon Hwy Ste 17A
Augusta, GA 30906-2229
Phone (706) 261-0018

Other practice location 8

625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone (470) 377-7228

Other practice location 9

677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190711002854 WI Practitioner - Nurse Practitioner 8426383548 Reassigns benefits to 1 organization
I20220128002121 GA Practitioner - Nurse Practitioner 8426383548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

3088 Washington Rd
East Point, GA 30344-4566
Phone (470) 444-3135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019333ILMDFamily Nurse Practitioner
9227WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Family CurrentSince May 9, 2022 Accepting new patients
Emergent Testing LLC CurrentSince Oct 1, 2021 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Qcpi-Villagemd, PC Past Accepting new patients
Johnson Regional Medical Center PastSince May 1, 2022 Accepting new patients

Locations

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1263 Moreland Ave SE
Atlanta, GA 30316
Phone (470) 444-3137

1631 Gordon Hwy
Ste 17A
Augusta, GA 30906
Phone (706) 230-7006

13 Corporate Blvd NE
Ste 250
Brookhaven, GA 30329
Phone (229) 442-7210

2732 Candler Rd
Decatur, GA 30034
Phone (470) 444-3133

3088 Washington Rd
East Point, GA 30344
Phone (470) 444-3135

625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228

7028 Highway 85
Riverdale, GA 30274
Phone (470) 444-3136

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1a399bfe-f78b-4bd3-b22b-301d9fc9736a/

Organizations & group practices 5

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1851951958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444566",
            "telephone_number": "470-444-3135",
            "fax_number": "404-777-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-805-6850",
            "fax_number": "414-805-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2732 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341410",
            "country_code": "US",
            "telephone_number": "470-444-3133",
            "fax_number": "470-276-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7028 Highway 85",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742946",
            "country_code": "US",
            "telephone_number": "470-444-3136",
            "fax_number": "470-298-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Moreland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303163183",
            "country_code": "US",
            "telephone_number": "470-444-3137",
            "fax_number": "470-202-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Rockbridge Rd Ste 15B",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873306",
            "country_code": "US",
            "telephone_number": "470-444-3134",
            "fax_number": "470-276-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 Gordon Hwy Ste 17A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309062229",
            "country_code": "US",
            "telephone_number": "706-261-0018",
            "fax_number": "762-257-7442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Marietta Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602748",
            "country_code": "US",
            "telephone_number": "470-377-7228",
            "fax_number": "470-467-7583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Cascade Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102404",
            "country_code": "US",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUSS",
        "first_name": "MARYAH",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN301563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.