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

Mary Mercedes Pettignano, AA

Individual provider Medical Physician Assistant · NPI 1063520237

Mary Mercedes Pettignano, AA is a Medical Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

5730 Glenridge Ste 300
Atlanta, GA 30328
Phone: (404) 250-1153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 002574 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 002574 (GA)

Record details

NPI number1063520237
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESSeptember 24, 2015

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