Individual provider Active NPI

Maryann Litchfield, N.P.

  • Nurse Practitioner
  • Austell, GA
National Provider Identifier
1871873836
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN087156NP Issued in GA
Practice address
1810 Mulkey Rd Ste 200
Austell, GA 30106-1150
Phone
(770) 315-8576
Fax
(770) 944-0829
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN087156NP GA Primary

Addresses

Primary practice location

1810 Mulkey Rd Ste 200
Austell, GA 30106-1150

Mailing address

49 Hosiery Mill Rd
Ste 124
Dallas, GA 30157-1688
Phone (770) 443-6111

Other identifiers 1

IdentifierTypeStateIssuer
RN087156OtherGARN LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200924002110 GA Practitioner - Nurse Practitioner 2365743317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN087156NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Capital Healthcare PC CurrentSince Jun 18, 2021 Accepting new patients
Allcare Ga PC Past Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

49 Hosiery Mill Rd
Ste 124
Dallas, GA 30157
Phone (770) 443-6111

Organizations & group practices 3

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1871873836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HOSIERY MILL RD",
            "address_2": "STE 124",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571688",
            "telephone_number": "770-443-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 200",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061150",
            "telephone_number": "770-315-8576",
            "fax_number": "770-944-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHFIELD",
        "first_name": "MARYANN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN087156NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "RN087156",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.