Individual provider Active NPI

Marlena Celeste Cain, MD

  • Emergency Medicine Physician
  • Riverdale, GA
National Provider Identifier
1104091222
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
060806 Issued in GA
Practice address
11 Upper Riverdale Rd
Riverdale, GA 30274
Phone
(770) 994-9326
Fax
(770) 994-4747
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 060806 GA Primary

Addresses

Primary practice location

11 Upper Riverdale Rd
Riverdale, GA 30274

Mailing address

235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401
Phone (770) 994-9326

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
I20080729000381 GA Practitioner - Emergency Medicine 5890869572 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060806GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerginet, LLC CurrentSince Jul 1, 2008 Accepting new patients
Emerginet Henry, LLC CurrentSince Jul 1, 2008 Accepting new patients
Emerginet SRMC, LLC CurrentSince Jul 1, 2008 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Nov 13, 2018 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients

Locations

235 Peachtree St NE
Ste 2100
Atlanta, GA 30303
Phone (770) 994-4747

1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1104091222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PEACHTREE ST NE",
            "address_2": "NORTH TOWER, SUITE 2100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031401",
            "telephone_number": "770-994-9326",
            "fax_number": "770-994-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "770-994-9326",
            "fax_number": "770-994-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "MARLENA",
        "middle_name": "CELESTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "060806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.