MS. MARY ELIZABETH EACCARINO (M.D.) – Obstetrics & Gynecology Physician, NPI 1174735054

MS. MARY ELIZABETH EACCARINO (M.D.) is a healthcare provider. based in Cumming, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 065276 (GA). The NPI Number for MS. MARY ELIZABETH EACCARINO (M.D.) is 1174735054

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY ELIZABETH EACCARINO (M.D.)
NPI
1174735054
Phone
(770) 751-3600
Address
1800 NORTHSIDE FORSYTH DR
Enumeration Date
4 May 2007
Last Update Date
27 July 2016

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4042550621
Graduation Year
2006 (20 years ago)
PAC ID
0648463919
Group Practice PAC ID
1951396639
Professional Enrollment ID
I20110307000122
Address ID
GA303421544AT5780XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for MS. MARY ELIZABETH EACCARINO (M.D.)

  • Northside Forsyth Drive, Cumming, Forsyth County, Georgia, 30041, United States

    SUITE 260

    CUMMING, GA 300418447

    Phone: (770) 751-3600

    Fax: (770) 889-0111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $760.

Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($159).

Total Amount

$760

General + Research + Ownership

Payments

41

Total payment records

General Amount

$760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110307000122IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30041)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951396639View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Does MS. MARY ELIZABETH EACCARINO (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. MARY ELIZABETH EACCARINO (M.D.) uses 1174735054.
Does CMS list MS. MARY ELIZABETH EACCARINO (M.D.) as active?
Yes — MS. MARY ELIZABETH EACCARINO (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes MS. MARY ELIZABETH EACCARINO (M.D.)?
For research purposes, treat MS. MARY ELIZABETH EACCARINO (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. MARY ELIZABETH EACCARINO (M.D.) serve?
MS. MARY ELIZABETH EACCARINO (M.D.)'s listing highlights Cumming, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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