Individual provider Active NPI

Marion K Owen, M.D.

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1376586347
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052800 Issued in GA
Practice address
402 W Ponce de Leon Ave
Decatur, GA 30030-2443
Phone
(404) 377-9010
Fax
(404) 935-0254
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 052800 GA Primary

Addresses

Primary practice location

402 W Ponce de Leon Ave
Decatur, GA 30030-2443

Mailing address

402 W Ponce de Leon Ave
Decatur, GA 30030-2443
Phone (404) 377-9010

Other names 1

  • Marion Hanson Kaylor Former name

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
I20040203000871 GA Practitioner - Family Practice 3173416260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Family Medicine, LLCGroup PAC ID 0345323093, 2 clinicians

Practice addresses (Care Compare)

402 W Ponce de Leon Ave
Decatur, GA 30030-2443
Phone (404) 377-9010

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Medicine, LLC Family Medicine CurrentSince Jan 30, 2004 Accepting new patients

Locations

402 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 377-9010

465 Winn Way
Ste 215
Decatur, GA 30030
Phone (404) 377-9010

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1376586347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302443",
            "telephone_number": "404-377-9010",
            "fax_number": "404-935-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302443",
            "telephone_number": "404-377-9010",
            "fax_number": "404-935-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "MARION",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "KAYLOR",
            "middle_name": "HANSON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.