Individual provider Active NPI

Marc Joel Kornfield, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Woodstock, GA
National Provider Identifier
1053432401
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
028807 Issued in GA
Practice address
240 Heritage Walk Ste 101a
Woodstock, GA 30188-3875
Phone
(770) 516-7880
Fax
(770) 516-7870
NPI assigned
Apr 3, 2007
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 028807 GA Primary

Addresses

Primary practice location

240 Heritage Walk Ste 101a
Woodstock, GA 30188-3875

Mailing address

240 Heritage Walk Ste 101a
Woodstock, GA 30188-3875
Phone (770) 516-7880

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060315000001 GA Practitioner - Physical Medicine and Rehabilitation 5597772673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Emory University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Pain Care,P.C.Group PAC ID 1759457641, 3 clinicians

Practice addresses (Care Compare)

240 Heritage Walk
101A
Woodstock, GA 30188-3875
Phone 770516788023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028807GAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Pain Care,P.C. CurrentSince Sep 1, 2025 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Physicians Spine and Rehab Specialists of Ga Past Accepting new patients
Salubrious ASC, LLC Past Accepting new patients

Locations

49 Gordon Rd
Ste 101
Jasper, GA 30143
Phone (678) 866-3637

240 Heritage Walk
#101A
Woodstock, GA 30188
Phone (770) 516-7880

240 Heritage Walk
Ste 101
Woodstock, GA 30188
Phone (770) 516-7880

240 Heritage Walk
Ste 101A
Woodstock, GA 30188

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDDFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDDFAA/Endpoint/FDDFAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1053432401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HERITAGE WALK STE 101A",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883875",
            "telephone_number": "770-516-7880",
            "fax_number": "770-516-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HERITAGE WALK STE 101A",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883875",
            "telephone_number": "770-516-7880",
            "fax_number": "770-516-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNFIELD",
        "first_name": "MARC",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "028807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.