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

Mary Kathryn Hanisee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760771356

Mary Kathryn Hanisee is a General Surgery in Thomasville, Georgia. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with Archbold Medical Group, Inc, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
GA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

100 Mimosa Dr
Thomasville, GA 31792-6676
Phone: (229) 226-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 452 Mayfair Dr, Bossier City, LA 71111-2212 — (318) 426-0636

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 078665 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760771356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2011 (15 years in practice)
Group practice Archbold Medical Group, Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Thomasville