Individual provider Active NPI

Marc Ean Yune, MD

  • Specialist
  • Roswell, GA
National Provider Identifier
1215975974
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041395 Issued in GA
Practice address
1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258
Phone
(770) 393-9000
Fax
(770) 393-9006
NPI assigned
Jun 3, 2006
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041395 GA Primary

Addresses

Primary practice location

1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258

Mailing address

1825 Old Alabama Road
Suite 201
Roswell, GA 30076-2258
Phone (770) 393-9000

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
I20060620000007 GA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 6103836002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Old Alabama Rd
Suite 201
Roswell, GA 30076-2258
Phone 7703939000107

2001 Linger Longer Rd
Greensboro, GA 30642-4917
Phone (770) 393-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041395GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Specialty Centre, PC Specialist CurrentSince Sep 12, 1998 Accepting new patients

Locations

2001 Linger Longer Rd
Greensboro, GA 30642
Phone (770) 393-9000

1825 Old Alabama Rd
Ste 201
Roswell, GA 30076
Phone (770) 393-9000

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1215975974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 OLD ALABAMA ROAD",
            "address_2": "SUITE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762258",
            "telephone_number": "770-393-9000",
            "fax_number": "770-393-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 OLD ALABAMA RD STE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762258",
            "telephone_number": "770-393-9000",
            "fax_number": "770-393-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNE",
        "first_name": "MARC",
        "middle_name": "EAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "041395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.