Organization Active NPI

Mark a Codner MD LLC

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1164749883
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
035592
Legal business name
MARK A CODNER MD LLC
Practice address
1800 Howell Mill Rd NW Ste 140
Atlanta, GA 30318-2538
Phone
(404) 351-4151
Fax
(404) 351-4152
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Mark Codner
Title
Physician
Phone
(404) 351-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 035592 Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 140
Atlanta, GA 30318-2538

Mailing address

1800 Howell Mill Rd NW Ste 140
Atlanta, GA 30318-2538
Phone (404) 351-4151

Other identifiers 1

IdentifierTypeStateIssuer
035592OtherSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1800 Howell Mill Rd NW
Ste 140
Atlanta, GA 30318
Phone (404) 343-0897

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1164749883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-351-4151",
            "fax_number": "404-351-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-351-4151",
            "fax_number": "404-351-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A CODNER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "CODNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-351-4151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": "035592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "035592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.