Individual provider Active NPI

Maryellen Pearson Bishop, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1992147961
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
235 Peachtree St NE
#2100
Atlanta, GA 30303-1401
Phone
(404) 354-1979
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

235 Peachtree St NE
#2100
Atlanta, GA 30303-1401

Mailing address

133 Amherst PL NW
Atlanta, GA 30327-4062
Phone (404) 354-1979

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urgent Care, - Alpharetta, LLC Current Accepting new patients
Physicians Express Care LLC PastSince Sep 1, 2021 Accepting new patients
Emerginet Henry, LLC Past Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients

Locations

1360 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 393-6482

290 Country Club Dr
Ste 220
Stockbridge, GA 30281
Phone (678) 284-6300

1065 Jodeco Rd
Stockbridge, GA 30281
Phone (678) 284-6300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1992147961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 AMHERST PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274062",
            "telephone_number": "404-354-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PEACHTREE ST NE",
            "address_2": "#2100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031401",
            "telephone_number": "404-354-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARYELLEN",
        "middle_name": "PEARSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2014; 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.