MS. MARY KATHLEEN HESIDENCE FNP-C
NPI 1336706316
Nurse Practitioner - Family in Dawsonville, GA
About Ms. Mary Kathleen Hesidence Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY KATHLEEN HESIDENCE FNP-C (NPI 1336706316) is an individual family provider in Dawsonville, Georgia, licensed in Georgia (RN249265) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Ms. Mary Kathleen Hesidence Fnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Hesidence reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 67 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 clinicians in this Medicare group
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 234 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Mission Hospital And Asheville Surgery Ce
Acute Care Hospitals · Asheville, NCHighlands Cashiers Hospital
Critical Access Hospitals · Highlands, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Hesidence's NPI number?
The NPI number for Mary Hesidence is 1336706316. It was assigned to this individual provider in the NPPES registry on May 24, 2019. The provider is also known as Mary Kay Matthews.
Where is Mary Hesidence located?
Mary Hesidence practices at 81 Northside Dr #100, Dawsonville, GA 30040. The listed phone number is (412) 478-9710.
What is Mary Hesidence's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Hesidence enrolled in Medicare?
Yes. Mary Hesidence 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 Hesidence's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Hesidence reassigns Medicare benefits to 3 organizations: Northside Urgent Care Holding, LLC (Atlanta, GA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Southeastern Medical Group, PC (Brevard, NC). 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 Hesidence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Hesidence accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mary Hesidence 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 Hesidence affiliated with any hospitals?
According to CMS data, Mary Hesidence is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Highlands Cashiers Hospital.
When was this NPI record last updated?
The NPPES record for Mary Hesidence was last updated on May 24, 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.
# Ms. Mary Kathleen Hesidence, FNP-C · NPI 1336706316
Family physician in Dawsonville, Georgia. Individual provider, active in the CMS NPPES registry since May 24, 2019.
## Identity
- **NPI:** 1336706316 (Entity type: Individual)
- **Enumerated:** May 24, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN249265 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 NORTHSIDE DR, #100, Dawsonville, GA 30040
- **Phone:** (412) 478-9710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northside Urgent Care Holding, LLC (NPI 1679962237, Atlanta, GA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Southeastern Medical Group, PC (NPI 1184669053, Brevard, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1336706316) · Data from the CMS NPPES public registry.