Mary Street Logan, MD
Anesthesiology Physician · Thomaston, GA
Mary Street Logan, MD is an anesthesiology physician with a practice address in Thomaston, Georgia, and NPI 1225021918, issued on Aug 26, 2005. Check the license (Georgia 040466, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Street Logan
- Credential
- MD
- Primary taxonomy
- Anesthesiology Physician 207L00000X
- License number
- 040466 GA
Self-reported in NPPES; status is on the state search - Practice location
- 801 W Gordon St, Thomaston, GA 30286
- Phone
- (706) 647-8111
- Enumerated
- Aug 26, 2005
- Record last updated
- Mar 3, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (706) 647-4389
- Medicaid ID
- 183893252B GA
- Entity
- Type 1 · individual
8 nearest anesthesiology physician records → All 1,410 in Georgia → Look up another NPI →
Also registered at 801 W Gordon St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Lacey Campbell, FNP-CFamily Nurse Practitioner1255114740
- Joy Daniel, RDRegistered Dietitian1306048244
- Joyce Glisson, PHARM.D.Pharmacist1083833792
- Lashley Hall, PAPhysician Assistant1295895423
- Lisa Ingram, MSN, APRN, FNPNurse Practitioner1104456235
Verify Mary Street Logan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 040466Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mary Street Logan among 1,410 anesthesiology physician records in Georgia
Mary Street Logan, MD is one of 1,410 anesthesiology physician records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 68% of these records are
- Record last updated2010 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anesthesiology Physician providers in Georgia
There are 1,410 anesthesiology physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,410 in Georgia → Every provider in Thomaston → Anesthesiology Physician nationwide →
The 8 anesthesiology physician records with the nearest ZIP codes
- David Peterson, MDThomaston, GA 302861699768382
- Adebola Arole, M.D.Stockbridge, GA 302811740370758
- Virlyn Bishop, MDStockbridge, GA 302811255516183
- Jerell Brown, MDStockbridge, GA 302811265726954
- Jonathan Diruzzo, MDStockbridge, GA 302811720269699
- Rebecca Downey, MDStockbridge, GA 302811922202340
- Shemille Ellis, MDStockbridge, GA 302811508245184
- Darryl Hall, M.D.Stockbridge, GA 302811427283522
Common questions
What is Mary Street Logan, MD's NPI number?
Mary Street Logan, MD's National Provider Identifier (NPI) is 1225021918, issued on Aug 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mary Street Logan, MD located?
The NPPES record lists a practice address at 801 W Gordon St, Thomaston, GA, 30286. Phone: (706) 647-8111. Providers update this record themselves, so call before visiting.
How can I verify Mary Street Logan, MD's license?
NPPES lists Georgia license number 040466, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.