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

Mary Mi'Shon Ingram, RN, NP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1558042804

Mary Mi'Shon Ingram, RN, NP-BC is a Nurse Practitioner in Columbus, Georgia. Qualified in 2021, 5 years ago. Practices with Phoebe Putney Memorial Hospital, Inc, a 78-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

713 20th St
Columbus, GA 31904-8920
Phone: (706) 660-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN274291 (GA)

Record details

NPI number1558042804
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , NP-BC
Sole proprietorYes
NPI enumeratedJuly 28, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phoebe Putney Memorial Hospital, Inc. — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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