Active NPI
Mark D Skyiepal, MD
- Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 109963
- Practice address
- 2258 Wrightsboro Rd Ste 170
Augusta, GA 30904-4788 - Phone
- (706) 481-7947
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J1570 | TX | |
| Surgery Physician | 208600000X | MD61639297 | WA | |
| Surgery Physician | 208600000X | 109963 | GA | Primary |
| Surgery Physician | 208600000X | 2334 | WI | |
| General Practice Physician | 208D00000X | J1570 | TX |
Addresses
Primary practice location
2258 Wrightsboro Rd Ste 170
Augusta, GA 30904-4788
Mailing address
791 N Highway 77 Ste 501C
Waxahachie, TX 75165-1985
Phone (888) 558-5756
Other practice location 1
791 N Highway 77
Ste 501-C #239
Waxahachie, TX 75165-1977
Phone (888) 558-5756
Other practice location 2
14860 Montfort Dr Ste 115
Dallas, TX 75254-6873
Phone (469) 431-5656
Other practice location 3
14860 Montfort Dr Ste 115
Dallas, TX 75254-6873
Phone (469) 431-5656
Other practice location 4
208 S 14th St
Mount Vernon, WA 98274-4117
Phone (360) 814-2600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046230104 | Medicaid | TX | |
| 046230105 | Medicaid | TX | |
| 046230106 | Medicaid | TX | |
| 100217995 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mskyiepal359192@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mskyiepal61993@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, WA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5995
Hospital & facility affiliations
- Piedmont Augusta Hospital
- Piedmont Eastside Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109963 | GA | MD | Surgery Physician |
| MD61639297 | WA | MD | Surgery Physician |
| 2334 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Aspire Health Medical Group Inc | General Practice | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | General Practice | Current | Accepting new patients |
| Advanced Surgeons & Physicians Network, Inc. | Surgery | Current | Accepting new patients |
| Beverly Guillory Lewis MD, PA | Surgery | Past | Accepting new patients |
| Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP | Surgery | Past | Accepting new patients |
| Select Specialty Hospital - South Dallas Inc | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Surgery | Past | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
215 Billings St
Ste 370F
Arlington, TX 76010
Phone (214) 983-8048
1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
7125 Marvin D Love Fwy
Ste 107
Dallas, TX 75237
Phone (972) 572-5000
4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
208 S 14th St
Mount Vernon, WA 98274
Phone (360) 424-2606
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- mskyiepal359192@direct.myadvocateaurora.org
- mskyiepal61993@skagit.direct-ci.com
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Family Medicine Physician
- Houston, TX
- NPI 1508030917
Surgery
-
- General Practice Physician
- Arlington, TX
- NPI 1447131214
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Primary Care Clinic/Center
- Granite Falls, WA
- NPI 1033164470
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Surgery Physician
- Beaumont, TX
- NPI 1073064689
-
- Surgery Physician
- Galveston, TX
- NPI 1275723249
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Surgery Physician
- Waxahachie, TX
- NPI 1871598458
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1124040266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 N HIGHWAY 77 STE 501C",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651985",
"telephone_number": "888-558-5756",
"fax_number": "888-558-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD STE 170",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044788",
"telephone_number": "706-481-7947"
}
],
"practiceLocations": [
{
"address_1": "791 N Highway 77",
"address_2": "Ste 501-C #239",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "751651977",
"country_code": "US",
"telephone_number": "888-558-5756",
"fax_number": "888-558-5754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14860 Montfort Dr Ste 115",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752546873",
"country_code": "US",
"telephone_number": "469-431-5656",
"fax_number": "877-658-8663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14860 Montfort Dr Ste 115",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752546873",
"country_code": "US",
"telephone_number": "469-431-5656",
"fax_number": "877-658-8663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 S 14th St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744117",
"country_code": "US",
"telephone_number": "360-814-2600",
"fax_number": "360-814-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKYIEPAL",
"first_name": "MARK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J1570",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61639297",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "109963",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "2334",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "J1570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046230104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046230105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046230106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100217995",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mskyiepal359192@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14860 Montfort Dr Ste 115",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752546873",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "14860 Montfort Dr Ste 115",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752546873",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mskyiepal61993@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Message",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "208 S 14th St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.