Marian Colosimo, M.D.

Individual provider Active NPI Pediatrics Physician · Winder, GA

NPI 1407816739 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1407816739
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
36944 (GA)
Practice address
561 Jefferson Hwy
Winder, GA 30680-3645
Phone
(770) 867-7616
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36944GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrow Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36944 GA Yes

Addresses

Primary practice location

561 Jefferson Hwy
Winder, GA 30680-3645

Mailing address

PO Box 1508
Winder, GA 30680-6508
Phone (770) 867-7616

Other providers in Winder, GA

All providers in Winder, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.