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

Maryann Johnston Fedack, MD

Individual provider Pediatrics Physician · NPI 1194780064

Maryann Johnston Fedack, MD is a Pediatrics Physician in Alpharetta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Alderman Dr Ste 250
Alpharetta, GA 30005
Phone: (678) 527-1555
Fax: (678) 527-1559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 54370 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 057370 (GA)

Record details

NPI number1194780064
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESJune 5, 2018
Mailing address1111 Alderman Drive, Ste. 250, Alpharetta, GA 30005

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