MS. MARY GUMP FLY (ACNP) – Acute Care Nurse Practitioner, NPI 1629167580
Acute Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. MARY GUMP FLY (ACNP)
1127, Druid Park Avenue, Oglethorpe Homes, Augusta, Richmond County, Georgia, 30904, United States
AUGUSTA, GA 309045849
Phone: (706) 364-6485
Type: Location
1231, Glenn Avenue, Forest Hills, Augusta, Richmond County, Georgia, 30904, United States
AUGUSTA, GA 309044615
Phone: (706) 736-1731
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-20
PECOS data refreshed: 2026-05-27
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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 30904)
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