Marian J Marrero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11500 Issued in GA

Practice address

586 Brannen St
Statesboro, GA 30458-5557

Phone

(912) 871-6611

NPI assigned

Apr 20, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Respro SleepGroup PAC ID 1759815236, 6 clinicians

Southeast Lung and Critical Care Specialists PCGroup PAC ID 7618962291, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marian.marrero.1@23844.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Specialist
  • Savannah, GA
  • NPI 1740244276
  Medicare reassignment Care Compare group NPD (past)
• Respro Sleep

  • Sleep Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1013752310
  Medicare reassignment Care Compare group
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment
• Southeast Lung & Critical Care Specialists

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Baxley, GA
  • NPI 1366064164
  NPD
• Southeast Lung & Critical Care Specialists, PC

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Springfield, GA
  • NPI 1932466471
  NPD
• Southeast Lung & Critical Care Specialists

  • Sleep Specialist (PhD)
  • Rincon, GA
  • NPI 1194975086
  NPD (past)
• Southeast Lung & Critical Care Specialists P C

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Hinesville, GA
  • NPI 1528578028
  NPD (past)
• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1023383247
  NPD (past)
• Southeast Lung & Critical Care Specialists, PC

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Jesup, GA
  • NPI 1447628789

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Liberty County

  dba Liberty Regional Medical Center

  • Critical Access Hospital
  • Hinesville, GA
  • NPI 1326079260
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1003503087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 BRANNEN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 BRANNEN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585557",
            "telephone_number": "912-871-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "MARIAN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Mansell
• Gary Maple Sr.
• Marche Healthcare Services LLC
• Maria a Moogerfeld MD, LLC
• Mark S McCracken MD PC
• Amber Johnson Marsh
• Megan Elizabeth Marsh, FNP-BC
• Lexi Marshall, CRNA
• Thomas Elliott Marshall II, D.M.D.
• Alyssa Martin, AGACNP-BC

• Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.