Active NPI
Marc Ean Yune, MD
- Specialist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 041395
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041395 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Specialty Centre, PC | Specialist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.