Individual provider Active NPI

John Jeffrey Marshall, MD

  • Interventional Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1184676413
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
034895 Issued in GA
Practice address
1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone
(404) 962-6000
Fax
(404) 962-6001
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 034895 GA Primary
Cardiovascular Disease Physician 207RC0000X 034895 GA

Addresses

Primary practice location

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

Other identifiers 2

IdentifierTypeStateIssuer
00525148BMedicaidGA
06BDGWBOtherGAMEDICARE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address John.Marshall@northsidehospital.cernerdirect.com Direct

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
I20050301000242 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9931152063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

6135 Barfield Rd
Suite 100
Sandy Springs, GA 30328-4308
Phone (678) 223-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Stephens County Hospital Physician Group, LLC CurrentSince Oct 4, 2023 Accepting new patients
Stephens County Hospital Physician Group, LLC CurrentSince Oct 4, 2023 Accepting new patients
Stephens County Hospital Physician Group LLC Current Accepting new patients
Stephens County Hospital Physician Group LLC Past Accepting new patients

Locations

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

230 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

Interoperability endpoints

  • Direct secure messaging: john.marshall@northsidehospital.cernerdirect.com
  • Direct secure messaging: john.marshall.1@14936.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1184676413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JOHN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "034895",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "034895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00525148B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "06BDGWB",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Marshall@northsidehospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1110 W Peachtree St NW Ste 920",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.