MRS. MARY ROSE LOCKE
NPI 1376930404
Nurse Practitioner - Family in Austell, GA
About Mrs. Mary Rose Locke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ROSE LOCKE (NPI 1376930404) is an individual family provider in Austell, Georgia, licensed in Georgia (RN198225) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Mary Rose Locke 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Locke's NPI number?
The NPI number for Mary Locke is 1376930404. It was assigned to this individual provider in the NPPES registry on April 15, 2015.
Where is Mary Locke located?
Mary Locke practices at 1620 Mulkey Rd Ste 100, Austell, GA 30106. The listed phone number is (770) 953-3331.
What is Mary Locke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Locke enrolled in Medicare?
Yes. Mary Locke 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.
When was this NPI record last updated?
The NPPES record for Mary Locke was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Mary Rose Locke · NPI 1376930404
Family physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since April 15, 2015.
## Identity
- **NPI:** 1376930404 (Entity type: Individual)
- **Enumerated:** April 15, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN198225 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1620 MULKEY RD, STE 100, Austell, GA 30106-1171
- **Phone:** (770) 953-3331 · **Fax:** (770) 739-9609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376930404) · Data from the CMS NPPES public registry.