Active NPI
Marina Shikhris Wilder, MD
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 42000
- Practice address
- 61 Whitcher St NE
Suite 2150
Marietta, GA 30060-1176 - Phone
- (770) 422-4268
- Fax
- (770) 422-2950
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 042000 | GA | |
| Pediatrics Physician | 208000000X | 042000 | GA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 42000 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE
Suite 2150
Marietta, GA 30060-1176
Mailing address
1341 Canton Rd
Suite a
Marietta, GA 30066-6056
Phone (770) 422-0517
Other practice location 1
620 J L White Dr Ste 140B
Jasper, GA 30143-4896
Phone (706) 692-9016
Other names 1
- Marina S Wilder
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Undersea and Hyperbaric Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441
Hospital & facility affiliations
- Pruitthealth at Home - Gainesville
- Amedisys Northwest Home Health
- Piedmont Mountainside Hospital Inc
- Northside Hospital
- Northside Hospital Cherokee
- Wellstar Kennestone Regional Medical Center
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42000 | GA | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Hyperbaric Physicians of Georgia Inc | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Cobb Hyperbaric Medicine, Inc | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Hyperbaric Medicine of North Atlanta LLC | Undersea and Hyperbaric Medicine | Past | Accepting new patients |
Locations
1505 Northside Blvd
Ste 1300
Cumming, GA 30041
Phone (770) 771-6400
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
61 Whitcher St NE
Ste 2150
Marietta, GA 30060
Phone (770) 422-4268
1341 Canton Rd
Ste A
Marietta, GA 30066
5887 Glenridge Dr
Ste 375
Sandy Springs, GA 30328
Phone (678) 229-2800
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Marietta, GA
- NPI 1043376452
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kennesaw, GA
- NPI 1346300555
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Sandy Springs, GA
- NPI 1578703773
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jasper, GA
- NPI 1588612188
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- Home Health Agency
- Blue Ridge, GA
- NPI 1669410122
-
- Home Health Agency
- Gainesville, GA
- NPI 1962556043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1164468443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 CANTON RD",
"address_2": "SUITE A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666056",
"telephone_number": "770-422-0517",
"fax_number": "678-638-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"address_2": "SUITE 2150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "770-422-4268",
"fax_number": "770-422-2950"
}
],
"practiceLocations": [
{
"address_1": "620 J L White Dr Ste 140B",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "GA",
"postal_code": "301434896",
"country_code": "US",
"telephone_number": "706-692-9016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDER",
"first_name": "MARINA",
"middle_name": "SHIKHRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "042000",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "042000",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "GA",
"license": "42000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARINA",
"last_name": "WILDER",
"middle_name": "S",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.