Individual provider Active NPI

Mary N. Bedingfield, MSN,NP-C

  • Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1922506906
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN158380 Issued in GA
Practice address
980 Woodstock Pkwy Ste 300
Woodstock, GA 30188-4871
Phone
(678) 494-9545
Fax
(678) 494-9559
NPI assigned
Jan 25, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 RN158380 GA Primary

Addresses

Primary practice location

980 Woodstock Pkwy Ste 300
Woodstock, GA 30188-4871

Mailing address

980 Woodstock Pkwy Ste 300
Woodstock, GA 30188-4871
Phone (678) 494-9545

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN158380GAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1922506906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WOODSTOCK PKWY STE 300",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884871",
            "telephone_number": "678-494-9545",
            "fax_number": "678-494-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WOODSTOCK PKWY STE 300",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884871",
            "telephone_number": "678-494-9545",
            "fax_number": "678-494-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDINGFIELD",
        "first_name": "MARY",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "MSN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN158380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.