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MARY LISA HUBER M.D.
NPI 1619007192
Psychiatry & Neurology - Child & Adolescent Psychiatry in Atlanta, GA

Active since March 06, 2007Opted out of Medicare · through Feb 3, 2028
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305(404) 240-4218(404) 240-4218 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mary Lisa Huber M.d. NPPES

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

MARY LISA HUBER M.D. (NPI 1619007192) is an individual child & adolescent psychiatry provider in Atlanta, Georgia, licensed in Georgia (GA036399) and active in the NPI registry since March 2007. She has opted out of Medicare through February 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619007192
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMARY LISA HUBERCredential: M.D.
Location Address3520 PIEDMONT RD NE STE 350Atlanta, GA 30305-1582
Mailing Address3520 Piedmont Rd Ne Ste 350Atlanta, GA 30305-1582 · (404) 240-4218 · Fax (404) 240-4218
Phone(404) 240-4218
Fax(404) 240-4218
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1619007192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · GA036399
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License GA036399 (GA)
3520 PIEDMONT RD NE STE 350, Atlanta, GA 30305
Open in Google Maps ↗

Other Identifiers 1

OtherGA036399GA · Ga License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Lisa Huber M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2016 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2016
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

LUKE GERARD SMITH LMSW
Social Worker
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (470) 808-1685
STARTKINETIK, LLC
Clinic/Center
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 348-8315
ZACK GARNER LPC
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 351-2008
SIMON FRAGAKIS MS
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 351-2008
COURTNEY BRADSHAW
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 351-2008
MRS. MELISSA GOLDSTEIN LPC, NCC
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (804) 512-5302

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 Huber's NPI number?

The NPI number for Mary Huber is 1619007192. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Mary Huber located?

Mary Huber practices at 3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305. The listed phone number is (404) 240-4218.

What is Mary Huber's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mary Huber enrolled in Medicare?

No. Mary Huber has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Huber was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.