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

Mrs. Mary L Dillard, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1629561436

Mrs. Mary L Dillard, FNP-BC is a Nurse Practitioner in Rome, Georgia. Qualified in 2017, 9 years ago. Practices with Ear, Nose, and Throat of Northwest Georgia, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

107 John Maddox Dr NW
Rome, GA 30165-1419
Phone: (706) 235-0116
Fax: (706) 235-5533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN164344 (GA)

Record details

NPI number1629561436
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESJune 7, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ear,Nose,And Throat Of Northwest Georgia — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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