Individual provider Active NPI

Marah Kamann

  • Other Technician
  • Decatur, GA
National Provider Identifier
1184416745
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
10014 Issued in CA
Practice address
114 W Trinity PL Ste 16
Decatur, GA 30030-3392
Phone
(404) 458-7467
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X 10014 CA Primary

Addresses

Primary practice location

114 W Trinity PL Ste 16
Decatur, GA 30030-3392

Mailing address

404 Pratt Dr SE Unit 1306
Atlanta, GA 30315-2184
Phone (678) 382-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10014CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1184416745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PRATT DR SE UNIT 1306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152184",
            "telephone_number": "678-382-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W TRINITY PL STE 16",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303392",
            "telephone_number": "404-458-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANN",
        "first_name": "MARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "10014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.