MARY CURRAN DEWYNGAERT PA-AA
NPI 1104153402
Anesthesiologist Assistant in Marietta, GA

Active since November 06, 2009Accepts Medicare Assignment
92.26/100
CMS Quality Rating
677 CHURCH ST NE, MARIETTA, GA 30060(770) 794-0477(770) 794-3108 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2019, Jan 17, 2017 (2 updates tracked since 2017).

About Mary Curran Dewyngaert Pa-aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CURRAN DEWYNGAERT PA-AA (NPI 1104153402) is an individual anesthesiologist assistant in Marietta, Georgia, licensed in Georgia (PA005666) and active in the NPI registry since November 2009. She is affiliated with Piedmont Newnan Hospital, Inc, maintains 4 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104153402
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMARY CURRAN DEWYNGAERTCredential: PA-AA
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address531 Roselane St Nw, Suite 830Marietta, GA 30060-6913 · (770) 794-0477 · Fax (770) 794-3108
Fax(770) 794-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 6, 2009
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1104153402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · PA005666
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
677 CHURCH ST NE, Marietta, GA 30060

Secondary Practice Locations 4

Location 12540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 797-0477 · Fax (770) 797-3108
Location 2146 Bill Carruth PkwyHiram, GA 30141-3749 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 38954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 4531 Roselane St NW, Suite 830Marietta, GA 30060-6913 · Phone (770) 794-0477 · Fax (770) 794-3108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Curran Dewyngaert Pa-aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103966551
PECOS Enrollment IDI20091216000457

Medicare Billing Reassignments

5

Medicare enrollment records show Mary Dewyngaert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
183 MYSTIC PLACE NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 201 clinicians in this Medicare group
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
Anesthesiology
303 PARKWAY DR NE, PMB 404
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 49 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dewyngaert's NPI number?

The NPI number for Mary Dewyngaert is 1104153402. It was assigned to this individual provider in the NPPES registry on November 6, 2009.

Where is Mary Dewyngaert located?

Mary Dewyngaert practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 794-0477.

What is Mary Dewyngaert's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Mary Dewyngaert enrolled in Medicare?

Yes. Mary Dewyngaert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Dewyngaert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dewyngaert reassigns Medicare benefits to 5 organizations: Concordia Anesthesiology, Inc (Atlanta, GA), Piedmont Anesthesia Associates, L.L.C (Atlanta, GA), Northlake Anesthesia Professionals, LLC (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and Piedmont Anesthesia LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Dewyngaert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dewyngaert accept?

Health plans from Oscar Health list Mary Dewyngaert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Dewyngaert affiliated with any hospitals?

According to CMS data, Mary Dewyngaert is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mary Dewyngaert was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.