MARY MALISSA OSBORNE PA-C
NPI 1336491711
Physician Assistant - Medical in Gainesville, GA

Q: What is Mary Osborne's NPI number?

The NPI number for Mary Osborne is 1336491711. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Q: What is Mary Osborne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Osborne was last updated on February 6, 2020. 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.

Active since October 09, 2012PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501(770) 219-9300(770) 219-9301 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2020, Jan 7, 2019 (2 updates tracked since 2019).

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About Mary Malissa Osborne Pa-c NPPES

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

MARY MALISSA OSBORNE PA-C (NPI 1336491711) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (006618) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1336491711

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARY MALISSA OSBORNECredential: PA-C

Location Address1315 JESSE JEWELL PKWY NE STE 200Gainesville, GA 30501-3822

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8722

Phone(770) 219-9300

Fax(770) 219-9301

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012

Enumeration DateOctober 9, 2012

Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration

✔ NPI 1336491711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 006618

Also ListedPhysician AssistantTaxonomy 363A00000X · License 006618 (GA)

1315 JESSE JEWELL PKWY NE STE 200, 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 and accepts Medicare assignment

Mary Malissa Osborne Pa-c 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 ID3173774593

PECOS Enrollment IDI20121113000300

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall 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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

Other Providers at the Same Location NPPES 8

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

DR. KAREN BROWN WOOD M.D.

Obstetrics & Gynecology