1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Psychologist
  6. NPI Profile

DR. MARY GRESHAM PHD
NPI 1740309319
Psychologist - Clinical in Atlanta, GA

Active since March 28, 2007Opted out of Medicare · through Oct 1, 2026
2801 BUFORD HWY NE STE 260, ATLANTA, GA 30329(404) 320-6510(404) 321-0311 Get Directions Write a Review

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

About Dr. Mary Gresham Phd NPPES

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

DR. MARY GRESHAM PHD (NPI 1740309319) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (1204) and active in the NPI registry since March 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740309319
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY GRESHAMCredential: PHD
Location Address2801 BUFORD HWY NE STE 260Atlanta, GA 30329-2137
Mailing Address2801 Buford Hwy Ne Ste 260Atlanta, GA 30329-2137 · (404) 320-6510 · Fax (404) 321-0311
Phone(404) 320-6510
Fax(404) 321-0311
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740309319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 1204
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2801 BUFORD HWY NE STE 260, Atlanta, GA 30329
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Gresham Phd 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 October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Gresham's NPI number?

The NPI number for Mary Gresham is 1740309319. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Mary Gresham located?

Mary Gresham practices at 2801 Buford Hwy NE Ste 260, Atlanta, GA 30329. The listed phone number is (404) 320-6510.

What is Mary Gresham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Gresham enrolled in Medicare?

No. Mary Gresham has opted out of Medicare through October 1, 2026. 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 Gresham 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.