MARY MCLAIN
NPI 1639804594
Nurse Practitioner in Atlanta, GA

Q: What is Mary Mclain's NPI number?

The NPI number for Mary Mclain is 1639804594. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Q: What is Mary Mclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mclain was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 23, 2022

550 PEACHTREE ST NE, ATLANTA, GA 30308(470) 992-3658(470) 264-7038 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Jul 19, 2023, Jun 10, 2023 and 11 more (14 updates tracked since 2022).

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About Mary Mclain NPPES

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

MARY MCLAIN (NPI 1639804594) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (LPN035931) and active in the NPI registry since July 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639804594

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY MCLAIN

Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212

Mailing AddressPo Box 371795Decatur, GA 30037-1795 · (470) 992-3658 · Fax (470) 264-7038

Phone(470) 992-3658

Fax(470) 264-7038

Sole ProprietorNo

Enumeration DateJuly 23, 2022

Last NPPES UpdateAugust 29, 202314 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1639804594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in GA · LPN035931✔ Licensed in GA · RN035931

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 035931 (GA)

550 PEACHTREE ST NE, Atlanta, GA 30308

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Secondary Practice Locations 3

Location 11968 Peachtree Rd NWAtlanta, GA 30309-1281 · Phone (470) 992-3658 · Fax (470) 264-7038

Location 21000 Johnson Fy Rd NEAtlanta, GA 30342-1611 · Phone (470) 992-3658 · Fax (470) 264-7038

Location 32700 Hospital DrNorthport, AL 35476-3360 · Phone (470) 992-3658 · Fax (470) 264-7038

Other Identifiers 1

Other1609536549Nppes

Other Providers at the Same Location NPPES 20

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

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery