Skip to content

Mary Blalock

NPI 1003349671ActiveIndividual· Nurse Practitioner, Family· Holly Springs, GA

Nurse Practitioner, Family in Holly Springs, Georgia, licensed in GA, with an NPI issued in April 2017.

Overview

NPI1003349671
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 10, 2017
Last updated in NPPESApr 10, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XRN129711GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Family providers in Holly Springs

All Nurse Practitioner, Family providers in Georgia →