MARY C. DYKE – NPI #1316601214
Nurse Practitioner

MARY DYKE is a nurse practitioner located in ATLANTA, GA. NPPES has assigned the NPI number 1316601214 to MARY DYKE on October 26, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MARY CLAIRE CARNES. The primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY DYKE below.

NPI Profile for
MARY C. DYKE

NPI Number
1316601214
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY C. DYKE
Former Name: MARY CLAIRE CARNES
Primary location
5461 MERIDIAN MARK RD STE 130
ATLANTA, GA 30342-3009
Phone: (404) 255-2033 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)		 GA RN239715

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.