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MARY MAGDALENA BRADLEY FNP-C
NPI 1174057335
Nurse Practitioner - Family in Gainesville, GA

Active since April 14, 2017PECOS Enrolled
2022 WINDWARD LN STE B2, GAINESVILLE, GA 30501(770) 415-4430(678) 717-0535 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2023, Feb 6, 2019, Apr 14, 2017 (3 updates tracked since 2017).

About Mary Magdalena Bradley Fnp-c NPPES

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

MARY MAGDALENA BRADLEY FNP-C (NPI 1174057335) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN098614) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174057335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MAGDALENA BRADLEYCredential: FNP-C
Location Address2022 WINDWARD LN STE B2Gainesville, GA 30501-7418
Mailing Address4144 Chatham Crest LnBuford, GA 30518-4916 · (770) 415-4430 · Fax (678) 717-0535
Phone(770) 415-4430
Fax(678) 717-0535
Sole ProprietorNo
Enumeration DateApril 14, 2017
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1174057335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN098614✔ Licensed in FL · RN9410595✔ Licensed in GA · RN9410595
2022 WINDWARD LN STE B2, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Magdalena Bradley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bradley's NPI number?

The NPI number for Mary Bradley is 1174057335. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Mary Bradley located?

Mary Bradley practices at 2022 Windward Ln Ste B2, Gainesville, GA 30501. The listed phone number is (770) 415-4430.

What is Mary Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Bradley enrolled in Medicare?

Yes. Mary Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Bradley was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.