Marla O. Coleman, D. D. S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

GA10307 Issued in GA

Practice address

970 Martin Luther King Jr Dr SW
Suite 301
Atlanta, GA 30314-2962

Phone

(404) 523-3153

Fax

(404) 523-0136

NPI assigned

Sep 16, 2005

Reactivated

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grady Memorial Hospital Corporation

  dba Grady Health System

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• Coleman Dental Associates, PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1710131545
  NPD (past) Authorized official
• Grady Memorial Hospital Corporation

  dba Grady Inpatient Rehabilitation Unit

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• Grady Memorial Hospital Corporation

  dba Grady Health Systems

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1992799050
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1386639284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142962",
            "telephone_number": "404-523-3153",
            "fax_number": "404-523-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142962",
            "telephone_number": "404-523-3153",
            "fax_number": "404-523-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARLA",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D. D. S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2008-01-03",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "GA10307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00364823A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Coleman Jr., MD
• Karlene Coleman, CGC
• Kendyl Coleman
• Maria Alessandra Coleman
• Marion Catrice Coleman, FNP
• Michael S Coleman, P.A.
• Nichelle Coleman
• Patrick Coleman, MD
• Selena Coleman, D.D, LCCT
• Shannon Coleman, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.