Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary J Lacy, NP

Individual provider Family Nurse Practitioner · NPI 1093701781

Mary J Lacy, NP is a Nurse Practitioner in Marietta, Georgia. Qualified in 2000, 26 years ago. Practices with Ascend Medical Georgia II PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

310 Kennestone Hospital Blvd
Marietta, GA 30060-1120
Phone: (770) 793-7856
Fax: (770) 793-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5670 Peachtree Dunwoody Rd, Atlanta, GA 30342-1699 — (404) 255-1930

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN131464 (GA)

Record details

NPI number1093701781
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ascend Medical Georgia Ii Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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