Mark Alan Kozinn, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

016005 Issued in GA

Practice address

135 N Park PL Ste 200
Stockbridge, GA 30281-7209

Phone

(678) 289-7960

NPI assigned

Feb 6, 2006

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlanta Neuroscience Associates LLC

  • Specialist
  • Riverdale, GA
  • NPI 1952587354
  NPD (past) Authorized official
• Pathlink of Georgia LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Riverdale, GA
  • NPI 1831890169
  NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1184696973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 KNOLLWOOD DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051021",
            "telephone_number": "404-231-1187",
            "fax_number": "404-364-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817209",
            "telephone_number": "678-289-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZINN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "16005",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "016005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000149949V",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Knox, LCSW
• Raghuarm Kolanu, MD
• Tusharika Kondaveeti
• Mohamed Koronfel, MD
• Geoffrey Michael Koteles, ATC
• Rodney N Kreider, M.D.
• Mariah Kuba
• Patrick Edward Kulmacz, D.C.
• Hannah Abigail Kulunkoglu, NP
• Ameet Kumar, M.D

• Neurology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.