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

Mary Katherine Fennelly, PA-C

Individual provider Family Medicine Physician · NPI 1356237077

Mary Katherine Fennelly, PA-C is a Family Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

993 Johnson Ferry Rd Ste F210
Atlanta, GA 30342-1688
Phone: (404) 256-1727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13196 (GA)

Record details

NPI number1356237077
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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