Mary Nichols Lollis, is a
Student In An Organized Health Care Education/training Program based in Newnan, Georgia. Mary Nichols Lollis is licensed to practice in * (Not Available) (license number ) and her current practice location is
280 Golfview Club Dr, Newnan, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 328-7714.
NPI number for Mary Nichols Lollis is 1821888546 and her current mailing address is 280 Golfview Club Dr, Newnan, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821888546.
Provider's Profile
| Full Name | Mary Nichols Lollis |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 280 Golfview Club Dr, Newnan, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821888546
- Provider Enumeration Date: 05/07/2025
- Last Update Date: 05/12/2025
Medical Identifiers
Medical identifiers for Mary Nichols Lollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821888546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Nichols Lollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Nichols Lollis,
280 Golfview Club Dr,
Newnan, GA 30263-3366
Ph: (770) 328-7714 | Mary Nichols Lollis,
280 Golfview Club Dr,
Newnan, GA 30263-3366
Ph: (770) 328-7714 |
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