Individual provider Active NPI

Charles Marcus, MD

  • Nuclear Medicine Physician
  • Atlanta, GA
National Provider Identifier
1164817680
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
84780 Issued in GA
Practice address
550 Peachtree St NE Dept of
Atlanta, GA 30308-2247
Phone
(404) 712-4843
Fax
(404) 712-7435
NPI assigned
Apr 1, 2015
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 84780 GA
Nuclear Cardiology Physician 207UN0901X 84780 GA
Nuclear Imaging & Therapy Physician 207UN0902X 84780 GA
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X 84780 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Dept of
Atlanta, GA 30308-2247

Mailing address

170 Amsterdam Ave Apt 20B
New York, NY 10023-5076
Phone (443) 831-7942

Other practice location 1

1275 York Ave
New York, NY 10065
Phone (443) 831-7942

Other practice location 2

43 Armstrong St SE Dept Of
Atlanta, GA 30303
Phone (404) 616-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WV, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240813003235 NY Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 5698060366 Reassigns benefits to 1 organization
I20251031002233 WV Practitioner - Diagnostic Radiology 5698060366 Reassigns benefits to 1 organization
I20251112000832 NJ Practitioner - Nuclear Medicine 5698060366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Johns Hopkins University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Nuclear Medicine GroupGroup PAC ID 9638068067, 37 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (616) 559-1000

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

16 E 60TH St
60TH Street Outpatient Center Memorial Sloa
New York, NY 10022-5243
Phone (646) 888-6001

160 E 53Rd St
Rockefeller Outpatient Pavilion Memorial SL
New York, NY 10022-5243
Phone (212) 610-0496

300 E 66TH St
New York, NY 10065-6800
Phone (646) 888-5300

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

500 Westchester Ave
Memorial Sloan Kettering Westchester
West Harrison, NY 10604-3200
Phone (914) 367-7105

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as group
Quality
84.03
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Bergen Multi-Specialty CurrentSince Aug 14, 2025 Accepting new patients
Emory Medical Care Foundation Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Memorial Nuclear Medicine Group Multi-Specialty CurrentSince Jul 15, 2024 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Multi-Specialty CurrentSince Aug 14, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 1, 2025 Accepting new patients
Emory Medical Care Foundation Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
The Emory Clinic Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
MSK Monmouth Multi-Specialty CurrentSince Aug 14, 2025 Accepting new patients
West Virginia University Medical Corporation Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

2000 Foundation Way
Ste 1100
Martinsburg, WV 25401
Phone (304) 262-8800

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1164817680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AMSTERDAM AVE APT 20B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235076",
            "telephone_number": "443-831-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE DEPT OF",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-712-4843",
            "fax_number": "404-712-7435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "443-831-7942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Armstrong St SE Dept Of",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30303",
            "country_code": "US",
            "telephone_number": "404-616-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "84780",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "84780",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "GA",
            "license": "84780",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "GA",
            "license": "84780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.