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MS. MARY GUMP FLY ACNP
NPI 1629167580
Nurse Practitioner - Acute Care in Augusta, GA

Active since October 11, 2006PECOS Enrolled
1127 DRUID PARK AVE, AUGUSTA, GA 30904(706) 364-6485 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Gump Fly Acnp NPPES

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

MS. MARY GUMP FLY ACNP (NPI 1629167580) is an individual acute care provider in Augusta, Georgia, licensed in Georgia (RN163789) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629167580
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MARY GUMP FLYCredential: ACNP
Location Address1127 DRUID PARK AVEAugusta, GA 30904-5849
Mailing Address1231 Glenn AveAugusta, GA 30904-4615 · (706) 736-1731
Phone(706) 364-6485
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629167580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN163789
1127 DRUID PARK AVE, Augusta, GA 30904
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Gump Fly Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30904 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.

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.

NANCY K SCHEAR APRN
Nurse Practitioner (Family)
1127 DRUID PARK AVE
AUGUSTA, GA 30904
Richmond County (706) 738-0455
MIRACLE MAKING MINISTRIES, INC.
Public Health or Welfare
1127 DRUID PARK AVE
AUGUSTA, GA 30904
Richmond County (706) 722-8693
DR. RICHARD MAGRUDER M. D.
Internal Medicine (Rheumatology)
1127 DRUID PARK AVE
AUGUSTA, GA 30904
Richmond County (706) 738-0455

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 Fly's NPI number?

The NPI number for Mary Fly is 1629167580. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mary Fly located?

Mary Fly practices at 1127 Druid Park Ave, Augusta, GA 30904. The listed phone number is (706) 364-6485.

What is Mary Fly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Fly enrolled in Medicare?

Yes. Mary Fly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Fly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.