Individual provider Active NPI

Mark D Skyiepal, MD

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1124040266
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
109963 Issued in GA
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

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
046230104MedicaidTX
046230105MedicaidTX
046230106MedicaidTX
100217995MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
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, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040802000332 TX Practitioner - General SurgeryPractitioner - General PracticePractitioner - Internal Medicine 0648241083 Reassigns benefits to 3 organizations
Practice locations: Waxahachie, TX; Mesquite, TX; Lancaster, TX; Grand Prairie, TX; Desoto, TX; Dallas, TX; Duncanville, TX
I20221201001471 WI Practitioner - General Surgery 0648241083
I20250228001482 WA Practitioner - General Surgery 0648241083 Reassigns benefits to 1 organization
I20251231001969 GA Practitioner - General Surgery 0648241083 Reassigns benefits to 1 organization

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
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

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 Hospital, Augusta, GA, CCN 110028
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109963GAMDSurgery Physician
MD61639297WAMDSurgery Physician
2334WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Surgery CurrentSince Mar 12, 2017 Accepting new patients
Aspire Health Medical Group Inc General Practice CurrentSince Sep 15, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 7, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 7, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Dec 1, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit General Practice Current Accepting new patients
Advanced Surgeons & Physicians Network, Inc. Surgery CurrentSince Jan 31, 2024 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

  • Direct secure messaging: mskyiepal359192@direct.myadvocateaurora.org
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.