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MARY VIRGINIA BRADY
NPI 1417385295
Nurse Practitioner - Family in Statesboro, GA

Active since October 14, 2013PECOS EnrolledAccepts Medicare Assignment
120 S ZETTEROWER AVE, STATESBORO, GA 30458(912) 681-7368(912) 681-3687 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Virginia Brady NPPES

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

MARY VIRGINIA BRADY (NPI 1417385295) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN195811) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417385295
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY VIRGINIA BRADY
Location Address120 S ZETTEROWER AVEStatesboro, GA 30458-4816
Mailing Address120 S Zetterower AveStatesboro, GA 30458-4816 · (912) 681-7368 · Fax (912) 681-3687
Phone(912) 681-7368
Fax(912) 681-3687
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 14, 2013
Last NPPES UpdateDecember 16, 2016
✔ NPI 1417385295 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 · RN195811
120 S ZETTEROWER AVE, Statesboro, GA 30458
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mary Virginia Brady 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 ID4284945130
PECOS Enrollment IDI20150618000755
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Mary Brady reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bulloch County Board Of Health
1.3 mi
Public Health or Welfare
3 W ALTMAN ST
Statesboro, GA 30458
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1043243876 (912) 764-2402
Altea Medical Georgia PC
22 mi
Geriatric Medicine
411 PINE ST
Sylvania, GA 30467
  • Reassigned Medicare billing, Georgia enrollment
  • 16 clinicians in this Medicare group
NPI 1407692452 (888) 408-7008
Toombs County Wellness Center
37 mi
Public Health or Welfare
714 NW BROAD STREET
Lyons, GA 30436
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Toombs County Board Of Health
  • 9 clinicians in this Medicare group
NPI 1831112879 (912) 526-9581
Coffee County Board Of Health
91 mi
Public Health or Welfare
1003 SHIRLEY AVE
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1316976699 (912) 389-4586
Ware County Board Of Health
91 mi
Public Health or Welfare
1102 PLANT AVENUE
Waycross, GA 31501
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1568491785 (912) 285-6002
Post Acute Medical PLLC
529 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008
Provider Partners Care Management LP
544 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services20 patients

Hospital Affiliations CMS Care Compare

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
18%140 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%704 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,569 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%477 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%763 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
26%229 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%427 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%214 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 150 patients
100%150 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%763 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

LINCOLN HAMMELL LIPPINCOTT MD
Otolaryngology
120 S ZETTEROWER AVE
STATESBORO, GA 30458
Bulloch County (912) 681-7368
MRS. CALLAWAY ANDERSON SKINNER PA-C
Physician Assistant (Medical)
120 S ZETTEROWER AVE
STATESBORO, GA 30458
Bulloch County (912) 681-7368

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 Brady's NPI number?

The NPI number for Mary Brady is 1417385295. It was assigned to this individual provider in the NPPES registry on October 14, 2013.

Where is Mary Brady located?

Mary Brady practices at 120 S Zetterower Ave, Statesboro, GA 30458. The listed phone number is (912) 681-7368.

What is Mary Brady's specialty?

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

Is Mary Brady enrolled in Medicare?

Yes. Mary Brady 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 Brady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Brady reassigns Medicare benefits to 7 organizations: Bulloch County Board Of Health (Statesboro, GA), Altea Medical Georgia PC (Sylvania, GA), Toombs County Wellness Center (Lyons, GA), Coffee County Board Of Health (Douglas, GA), Ware County Board Of Health (Waycross, GA) and 2 more organizations, listed in the Medicare section above. 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 Brady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Brady accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mary Brady 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 Brady affiliated with any hospitals?

According to CMS data, Mary Brady is affiliated with East Georgia Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Brady was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.