Active NPI
Maryellen Pearson Bishop, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1992147961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Urgent Care, - Alpharetta, LLC | Current | Accepting new patients | |
| Physicians Express Care LLC | Past | 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.
-
- Urgent Care Clinic/Center
- Woodstock, GA
- NPI 1922133768
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
-
- Urgent Care Clinic/Center
- Alpharetta, GA
- NPI 1528336674
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.