P Praxis·MD
● Active Type 1 · Individual

MRS. Mary Rose Locke

Nurse Practitioner·Austell, GA· NPI 1376930404 · Enumerated 2015 · 11 years on NPI
Locke is 1 of 77 nurse practitioner providers in Austell and 1 of 8826 in Georgia.
NPI age
11 years
Enumerated 2015-04-15
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
1620 Mulkey Rd, Ste 100
Austell, GA 301061171
📞 7709533331fax 7707399609
Mailing address
8200 Roberts Dr, Ste 450
Sandy Springs, GA 303504115
📞 7704853723fax 6788036944

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN198225 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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