MARY VIRGINIA BRADY – Family Nurse Practitioner, NPI 1417385295

MARY VIRGINIA BRADY is a healthcare provider. based in Statesboro, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN195811 (GA). The NPI Number for MARY VIRGINIA BRADY is 1417385295

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY VIRGINIA BRADY
NPI
1417385295
Phone
(912) 681-7368
Address
120 S ZETTEROWER AVE
Enumeration Date
14 October 2013
Last Update Date
16 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125642015
Graduation Year
2013 (13 years ago)
PAC ID
4284945130
Group Practice PAC ID
2466973516
Professional Enrollment ID
I20150618000755
Address ID
GA304672035SY411XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MARY VIRGINIA BRADY

  • 120 S ZETTEROWER AVE

    STATESBORO, GA 304584816

    Phone: (912) 681-7368

    Fax: (912) 681-3687

    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 81 Open Payments records for all available years, with a total value of $1,624.

Total Amount is formed as General ($1,624) + Research ($0) + Ownership ($0) = $1,624.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Gilead Sciences, Inc. ($764).

Total Amount

$1,624

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,624

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2015-06-18

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
I20150618000755INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample4826$0
99214Established patient office or other outpatient visit, 30-39 minutes4827$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Provider's Procedures

MARY VIRGINIA BRADY performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA83036Hemoglobin A1C level2121

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: 2466973516View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal Medicine, Geriatric MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to MARY VIRGINIA BRADY?
The federal identifier for MARY VIRGINIA BRADY is NPI 1417385295.
Is MARY VIRGINIA BRADY currently active in the NPI registry?
CMS-published data lists MARY VIRGINIA BRADY as an active registrant.
What kind of provider is MARY VIRGINIA BRADY?
The page reflects Family Nurse Practitioner for MARY VIRGINIA BRADY. Clinical services aligned with this taxonomy classification.
What location shows for MARY VIRGINIA BRADY?
We surface Statesboro, Georgia for MARY VIRGINIA BRADY based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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