MARIANNE PETTIS
NPI 1366057366
Nurse Practitioner - Family in Atlanta, GA

Q: What is Marianne Pettis's NPI number?

The NPI number for Marianne Pettis is 1366057366. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Q: What is Marianne Pettis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marianne Pettis was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 15, 2020

2429 MLK JR DR SW, ATLANTA, GA 30311(706) 296-5739 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marianne Pettis NPPES

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

MARIANNE PETTIS (NPI 1366057366) is an individual family provider in Atlanta, Georgia, licensed in Georgia (218380) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1366057366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIANNE PETTIS

Location Address2429 MLK JR DR SWAtlanta, GA 30311-1713

Mailing Address2429 Martin Luther King Jr Dr SwAtlanta, GA 30311-1713

Phone(706) 296-5739

Sole ProprietorNo

Enumeration DateSeptember 15, 2020

NPPES CertifiedSeptember 15, 2020

✔ NPI 1366057366 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

License✔ Licensed in GA · 218380

2429 MLK JR DR SW, Atlanta, GA 30311

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Other Providers at the Same Location NPPES 3

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

REBECCA HJORTSBERG

Nurse Practitioner (Family)

2429 MLK JR DR SW
ATLANTA, GA 30311

Fulton County (404) 691-9197

EMILY MADISON MURRAY APRN

Nurse Practitioner (Family)

2429 MLK JR DR SW
ATLANTA, GA 30311

Fulton County (404) 691-3344

TROY LAMAR ASHE

Pharmacist

2429 MLK JR DR SW
ATLANTA, GA 30311

Fulton County (404) 691-3344

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 Marianne Pettis's NPI number?

The NPI number for Marianne Pettis is 1366057366. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Marianne Pettis located?

Marianne Pettis practices at 2429 Mlk Jr Dr SW, Atlanta, GA 30311. The listed phone number is (706) 296-5739.

What is Marianne Pettis's specialty?

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

When was this NPI record last updated?

The NPPES record for Marianne Pettis was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.