Individual provider Active NPI

Jennifer Yvonne Marshall, MD

  • Anesthesiology Physician
  • Morrow, GA
National Provider Identifier
1174561302
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
053279 Issued in GA
Practice address
6645 Lake Dr
Morrow, GA 30260-2354
Phone
(770) 968-9978
Fax
(770) 968-9975
NPI assigned
Jun 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 053279 GA Primary

Addresses

Primary practice location

6645 Lake Dr
Morrow, GA 30260-2354

Mailing address

PO Box 278
Jonesboro, GA 30237-0278
Phone (770) 968-9978

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000907 GA Practitioner - Anesthesiology 8224060017 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Anesthesiology, PC Anesthesiology CurrentSince Aug 1, 2005 Accepting new patients

Locations

365 E Paces Ferry Rd NE
Atlanta, GA 30305
Phone (404) 814-0868

1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (678) 251-0200

156 Foster Dr
Spc C
McDonough, GA 30253

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

6649 Lake Dr
Morrow, GA 30260

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174561302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302370278",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 LAKE DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602354",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JENNIFER",
        "middle_name": "YVONNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "053279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.