Individual provider Active NPI

Eugene Richard Marnell Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
National Provider Identifier
1275599003
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
047800 Issued in GA
Practice address
630 13TH St
Suite 250
Augusta, GA 30901-1015
Phone
(706) 774-5000
Fax
(706) 823-5928
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 047800 GA Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 047800 GA
Body Imaging Physician 2085B0100X 047800 GA
Neuroradiology Physician 2085N0700X 047800 GA
Nuclear Radiology Physician 2085N0904X 047800 GA
Pediatric Radiology Physician 2085P0229X 047800 GA
Diagnostic Radiology Physician 2085R0202X 047800 GA
Diagnostic Ultrasound Physician 2085U0001X 047800 GA

Addresses

Primary practice location

630 13TH St
Suite 250
Augusta, GA 30901-1015

Mailing address

1125 Troupe St
P.O. Box 3129
Augusta, GA 30914-3129
Phone (706) 737-4575

Other identifiers 5

IdentifierTypeStateIssuer
610062310BMedicaidGA
610062310CMedicaidGA
1346357217OtherNPI - VASCULAR RADIOLOGY
G47800MedicaidSC
610062310AMedicaidGA

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
I20080421000328 GA Practitioner - Interventional Radiology 5294813945 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Radiology Associates, IIGroup PAC ID 1456345651, 15 clinicians
Vra Physicians III LLCGroup PAC ID 0042790768, 8 clinicians
Fresenius Vascular Care Augusta, LLCGroup PAC ID 8527227875, 9 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 722-9011

3623 J Dewey Gray Cir
Suite 100
Augusta, GA 30909-6511
Phone (706) 651-6700

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 737-4575

630 13TH St
Suite 250
Augusta, GA 30901-1017
Phone (706) 724-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
63.05
Promoting interoperability
100
Improvement activities
40
Cost
79.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jul 1, 2003 Accepting new patients
Vascular Radiology Associates, II Body Imaging CurrentSince Jan 23, 2008 Accepting new patients
Fresenius Vascular Care Augusta, LLC Vascular & Interventional Radiology CurrentSince Mar 1, 2012 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2003 Accepting new patients
Vra Physicians III LLC Vascular & Interventional Radiology CurrentSince Jan 1, 2026 Accepting new patients

Locations

3623 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 651-6700

630 13th St
Ste 105
Augusta, GA 30901
Phone (706) 724-2500

630 13th St
Ste 250
Augusta, GA 30901
Phone (706) 724-2500

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

Interoperability endpoints

  • Direct secure messaging: eugene.marnell.p4@direct.aac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: eugene.marnell.p212@direct.aac.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1275599003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TROUPE ST",
            "address_2": "P.O. BOX 3129",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143129",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST",
            "address_2": "SUITE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011015",
            "telephone_number": "706-774-5000",
            "fax_number": "706-823-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNELL",
        "first_name": "EUGENE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "047800",
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "047800",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "047800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610062310B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610062310C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - VASCULAR RADIOLOGY",
            "identifier": "1346357217",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G47800",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610062310A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.