Marlon Charles, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN215030 Issued in GA

Practice address

2707 N Barack Obama Blvd
Valdosta, GA 31602-2057

Phone

(229) 316-8116

NPI assigned

Apr 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valdosta Family Medicine Associates, P.C.Group PAC ID 5991791683, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Valdosta Family Medicine Associates, P.C.

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1114003779
  Medicare reassignment Care Compare group NPD
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocilla, GA
  • NPI 1891978854
  Medicare reassignment NPD
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, GA
  • NPI 1063840296
  NPD
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Valdosta, GA
  • NPI 1467223818
  NPD (past)
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Valdosta, GA
  • NPI 1528683885
  NPD (past)
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Pearson, GA
  • NPI 1558445742
  NPD (past)

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1083409676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 HUMPHREYS RD",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316364345",
            "telephone_number": "954-288-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N BARACK OBAMA BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022057",
            "telephone_number": "229-316-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N Ashley St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022620",
            "country_code": "US",
            "telephone_number": "229-270-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARLON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215030",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN215030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Chammoun, PA
• Chancy Drugs North Valdosta LLC
• Chancy Drugs North Valdosta LLC
• Chancy Drugs Valdosta LLC
• Kathryn Channell
• Lisa Michelle Chatman, D.D.S.
• Rija Farrukh Chaudhary, MD
• Kayleigh M Chavarria, M.ED., CCC-SLP
• Marene Denise Chavis
• Hannah Cheek, FNP-C

• Family Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.