Mark Vakkur, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

47548 Issued in GA

Practice address

2200 Century Pkwy NE
Suite 200
Atlanta, GA 30345-3154

Phone

(404) 486-7450

Fax

(404) 325-3663

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Duke University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Mental Health Agency LLCGroup PAC ID 3274854823, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Access Mental Health Agency, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1881848174
  Medicare reassignment Care Compare group
• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043224199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VICKERS CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301033",
            "telephone_number": "404-486-7450",
            "fax_number": "404-325-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453154",
            "telephone_number": "404-486-7450",
            "fax_number": "404-325-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKKUR",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "47548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00976302A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danish Vaiyani, M.D.
• Rachel Vaizer, MD
• Mona Vakil, MD
• Alexander Vakili, MD
• Vanessa Sholeh Vakili, MD
• Sybile Val, M.D.
• James Daniel Valanty, PA
• Mary Anne L. Valdecanas, MD
• Franklin Antonio Valdera, MD
• Lissette Maria Estevez Valdes, MMSC, PA-C

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.