NPIMap

Individual provider Active NPI

Mark Virtue, M.D.

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1497980064
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67625 Issued in GA
Practice address
330 Turner McCall Blvd SW
Suite 101
Rome, GA 30165-5630
Phone
(706) 291-2745
NPI assigned
May 26, 2009
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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 67625 GA Primary

Addresses

Primary practice location

330 Turner McCall Blvd SW
Suite 101
Rome, GA 30165-5630

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3209
Phone (706) 509-3000

Other identifiers 2

IdentifierTypeStateIssuer
003124619AMedicaidGA
003124619GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000232 GA Practitioner - Family Practice 8224293543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

123 Three Rivers Nedr
Rome, GA 30161-2300
Phone (706) 295-3961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67625GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Jun 1, 2012 Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

123 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 295-3961

330 Turner McCall Blvd SW
Ste 101
Rome, GA 30165
Phone (706) 291-2745

330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

Organizations & group practices 2

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.

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1497980064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613209",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TURNER MCCALL BLVD SW",
            "address_2": "SUITE 101",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655630",
            "telephone_number": "706-291-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRTUE",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124619A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124619G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.