Active NPI
Mary Susann Bedford, M.D.
- Plastic and Reconstructive Surgery Physician
- Atlanta, GA
National Provider Identifier
1891770699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 35480
- Practice address
- 5673 Peachtree Dunwoody Rd NE
Suite 870
Atlanta, GA 30342-1731 - Phone
- (404) 255-2975
- Fax
- (404) 255-2276
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35480 | DC | Primary |
Addresses
Primary practice location
5673 Peachtree Dunwoody Rd NE
Suite 870
Atlanta, GA 30342-1731
Mailing address
PO Box 631856
Baltimore, MD 21263-1856
Other names 1
- Mary Susann Wamsley
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35480 | DC | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891770699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631856",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 870",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421731",
"telephone_number": "404-255-2975",
"fax_number": "404-255-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "MARY",
"middle_name": "SUSANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "DC",
"license": "35480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WAMSLEY",
"middle_name": "SUSANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.