Mark Alfred William Paun, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

066048 Issued in GA

Practice address

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221

Phone

(770) 382-0029

Fax

(770) 387-0306

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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 and National Provider Directory roles.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Polk Emergency Group LLC

  • Emergency Medicine Physician
  • Bartow, FL
  • NPI 1558338574
  Medicare reassignment NPD
• River Valley Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1649384660
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1336301043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1882",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621882",
            "telephone_number": "706-509-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204221",
            "telephone_number": "770-382-0029",
            "fax_number": "770-387-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUN",
        "first_name": "MARK",
        "middle_name": "ALFRED WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "066048",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME117502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patterson Family Chiropractic Clinic LLC
• Colton Patterson, PA
• Leroy Patterson
• Mark A Patterson Sr., D.C.
• Tammy Patterson
• Kristina Sarber Payne, MA, LPC, NCC
• William R Payne, MD
• Jennifer Payton, RD
• Pediatric Medicine of Cartersville, P.C.
• Pediatric Services of America, LLC

• Family Medicine Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.