MARY B. HAMMOCK (NPI# 1720136476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720136476 |
| Entity Type | Individual |
| Full Name | MARY B. HAMMOCK |
| Credential | CPNP |
| Practice Address |
3911 Mary Eliza Trce Nw Suite 200 Marietta GA 30064-1086 |
| Practice Telephone | 6783843480 |
| Practice Fax Number | 6783843481 |
| Mailing Telephone | 6783843480 |
| Mailing Fax Number | 6783843481 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
138345 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00978436D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700065158 | Mary Katherine Hammock | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2007-11-01 |
| 1174509640 | Mary C Hammock | Internal Medicine | 725 Glenwood Dr, Suite 480, Chattanooga, TN 37404-1163 | 2005-12-16 |
| Street Address |
3911 MARY ELIZA TRCE NW SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936559 | Healthy Collaborations LLC | Behavioral Analyst | 3911 Mary Eliza Trce Nw, Marietta, GA 30064-1086 | 2018-09-24 |
| 1487105672 | Meagan Darling | Nurse Practitioner | 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 | 2016-10-22 |
| 1780059626 | Lauren Youmans | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2015-12-03 |
| 1295078954 | Young Jin Yang | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2013-04-01 |
| 1548567019 | Healthy Steps Pediatrics, LLC | Clinic/Center | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1932648730 | Nnokp | Nurse Practitioner | 777 Franklin Gtwy Se, Marietta, GA 30067-7803 | 2017-02-14 |
| 1154789949 | Jennifer Lee Besse | Nurse Practitioner | 121 Marble Mill Rd Nw Ste 101, Marietta, GA 30060-7959 | 2016-02-08 |
| 1134460207 | Ganielle Hooper | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2013-03-13 |
| 1114901337 | Mary Elizabeth Cahill | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2005-12-01 |
| 1194226068 | Axis Hope, LLC | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2018-02-26 |
| 1811436348 | Charlotte Fischer Grulke | Nurse Practitioner | 2520 Windy Hill Rd Se, Suite 104, Marietta, GA 30067-8664 | 2017-02-16 |
| 1487105672 | Meagan Darling | Nurse Practitioner | 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 | 2016-10-22 |
| 1780059626 | Lauren Youmans | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2015-12-03 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.