MARY MONROE
NPI 1215482641
Anesthesiologist Assistant in Marietta, GA

Active since August 15, 2016Accepts Medicare Assignment
92.93/100
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 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2019, Mar 17, 2018, Aug 15, 2016 (3 updates tracked since 2016).

About Mary Monroe NPPES

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

MARY MONROE (NPI 1215482641) is an individual anesthesiologist assistant in Marietta, Georgia and active in the NPI registry since August 2016. She is affiliated with Wellstar Kennestone Regional Medical Center, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215482641
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMARY MONROE
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address531 Roselane St Nw Ste 830Marietta, GA 30060-6979 · (770) 794-0477 · Fax (770) 794-3108
Fax(770) 794-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 15, 2016
Last NPPES UpdateAugust 27, 20193 updates tracked since enumeration
NPI 1215482641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
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 1800 Prudential DrJacksonville, FL 32207-8202 · Phone (904) 202-2000
Location 2146 Bill Carruth PkwyHiram, GA 30141-3749 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 32540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 48954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 794-0477 · Fax (770) 794-3108

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Monroe 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 ID3072891811
PECOS Enrollment IDI20170901000079

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
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
Student in an Organized Health Care Education/Training Program
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 Monroe's NPI number?

The NPI number for Mary Monroe is 1215482641. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Mary Monroe located?

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

What is Mary Monroe's specialty?

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

Is Mary Monroe enrolled in Medicare?

Yes. Mary Monroe 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.

What insurance does Mary Monroe accept?

Health plans from Alliant Health Plans, Inc. list Mary Monroe 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 Monroe affiliated with any hospitals?

According to CMS data, Mary Monroe is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Monroe was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.