Mary Dewyngaert, PA-AA
NPI 1104153402 · Anesthesiologist Assistant · Marietta, GA
Provider details
- NPI number
- 1104153402
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-AA
- Sex
- Female
- Sole proprietor
- No
- License
- PA005666 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 13 | $74 |
Typical Medicare-allowed amounts for these services range $74–$74 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (4)
- 8954 Hospital DrDouglasville, GA 30134-2272Phone: (770) 794-0477Fax: (770) 794-3108
- 146 Bill Carruth PkwyHiram, GA 30141-3749Phone: (770) 794-0477Fax: (770) 794-3108
- 531 Roselane St NwSuite 830Marietta, GA 30060-6913Phone: (770) 794-0477Fax: (770) 794-3108
- 2540 Windy Hill Rd SeMarietta, GA 30067-8605Phone: (770) 797-0477Fax: (770) 797-3108
Registry dates
- Enumerated
- 2009-11-06
- Last updated
- 2019-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.