Mark H Dupuis, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

026258 Issued in GA

Practice address

1968 Peachtree Rd NW
Atlanta, GA 30309

Phone

(404) 605-3247

Fax

(404) 609-6645

NPI assigned

Mar 23, 2006

Last updated

Jul 25, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peachtree Laboratory Associates PC

  • Clinical Medical Laboratory
  • Atlanta, GA
  • NPI 1588623110
  NPD Authorized official
• Peachtree Piedmont Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlanta, GA
  • NPI 1447219225
  NPD Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248480000000",
    "number": "1447219753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491028",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30049",
            "telephone_number": "404-605-3247",
            "fax_number": "404-609-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-605-3247",
            "fax_number": "404-609-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "GA",
            "license": "026258",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "026258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hand Dupre, LPC003795 (GA), ATR
• Tisa W Dupree Bright, RN
• Kristerly C Dupree, CRNA
• Saeed Dupree
• Elizabeth Dupuis, MD
• Crystal Michelle Duque, RDN
• Anissa Ahuja Durairaj, M.D.
• Rodrigo A Duralde, M.D.
• Xavier Ampuero Duralde, MD
• Anthony Duran

• Anatomic Pathology & Clinical Pathology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.