Maryann Johnston Fedack, MD - Pediatrics in Alpharetta, GA

Maryann Johnston Fedack, MD is a Pediatrics physician based in Alpharetta, Georgia. Maryann Johnston Fedack is licensed to practice in Georgia (license number 54370) and her current practice location is 1111 Alderman Drive, Ste. 250, Alpharetta, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 527-1555.

NPI number for Maryann Johnston Fedack is 1194780064 and her current mailing address is 1111 Alderman Drive, Ste. 250, Alpharetta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194780064.

Contact Information

Maryann Johnston Fedack, MD
1111 Alderman Drive, Ste. 250,
Alpharetta, GA 30005
(678) 527-1555
(678) 527-1559



Physician's Profile

Full NameMaryann Johnston Fedack
GenderFemale
SpecialityPediatrics
Location1111 Alderman Drive, Alpharetta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194780064
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 06/05/2018

Medical Identifiers

Medical identifiers for Maryann Johnston Fedack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194780064NPI-NPPES
003122405BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 057370 (Georgia)Secondary
208000000XPediatrics 54370 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryann Johnston Fedack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryann Johnston Fedack, MD
1111 Alderman Drive, Ste. 250,
Alpharetta, GA 30005

Ph: (678) 527-1555
Maryann Johnston Fedack, MD
1111 Alderman Drive, Ste. 250,
Alpharetta, GA 30005

Ph: (678) 527-1555

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Pediatrics Doctors in Alpharetta, GA

Dr. Margaret Fox Fox, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3550 Preston Ridge Rd, Kaiser Permenente Alpharetta Medical Office, Alpharetta, GA 30005
Phone: 404-365-0966    Fax: 770-772-6099
Mrs. Sandra S Zehnder, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3005 Royal Blvd S, Suite 110, Alpharetta, GA 30022
Phone: 770-442-5437    Fax: 770-664-7836
Gabraella Drake-forte, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3400-c Old Milton Pkwy, Ste 490, Alpharetta, GA 30005
Phone: 678-297-0070    Fax: 678-297-0073
Reanne Parrenas Stephansson, M.D.F.A.A.P
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11975 Morris Road, Ste 210, Alpharetta, GA 30005
Phone: 770-664-0088    Fax: 770-664-8228
Dr. Thomas John Steimer Ii, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3550 Preston Ridge Rd, Pediatrics Health Care Team A, Alpharetta, GA 30005
Phone: 770-663-3303    Fax: 770-663-3200
Mrs. Danelle Phelps Wilson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3180 North Point Pkwy, Suite 410, Alpharetta, GA 30005
Phone: 770-664-0088    Fax: 770-664-8228
Dr. Larue D Penny Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Old Milton Pkwy, Suite 330/bldg A, Alpharetta, GA 30005
Phone: 770-751-6111    

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