Individual provider Active NPI

Marilyn Rankin, NP

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1952606303
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218147 Issued in MD
Practice address
62 Macon St
McDonough, GA 30253-3221
Phone
(470) 220-0621
Fax
(229) 485-1588
NPI assigned
Jan 17, 2011
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218147 MD Primary

Addresses

Primary practice location

62 Macon St
McDonough, GA 30253-3221

Mailing address

1203 Walker CT
McDonough, GA 30252-8556
Phone (470) 220-0621

Other names 1

  • Marilyn E Matlock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218147MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maran Healthcare LLC CurrentSince Apr 20, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Oct 13, 2020 Accepting new patients
Inner Community Health CurrentSince Oct 22, 2023 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (678) 640-7247

10700 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (770) 476-9885

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

415 E Monroe Ave
Alexandria, VA 22301
Phone (703) 643-4433

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Interoperability endpoints

  • Direct secure messaging: mrankin736381@direct.novanthealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1952606303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WALKER CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528556",
            "telephone_number": "470-220-0621",
            "fax_number": "229-485-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MACON ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533221",
            "telephone_number": "470-220-0621",
            "fax_number": "229-485-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "218147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MATLOCK",
            "middle_name": "E",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.