Mark D Winokur, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036317 Issued in GA

Practice address

5610 Bethelview Rd
Ste 500a
Cumming, GA 30040-7522

Phone

(770) 205-2804

Fax

(770) 205-2854

NPI assigned

Jul 23, 2006

Sex

Male

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

Electronic endpoints 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• North Fulton Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Roswell, GA
  • NPI 1053456954
  Medicare reassignment NPD
• The Bortolazzo Group, LLC

  • Emergency Medicine Physician
  • Austell, GA
  • NPI 1801965082
  Medicare reassignment
• East Cobb Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Marietta, GA
  • NPI 1205979952
  NPD
• Advanced Urgent Care LLC

  • Urgent Care Clinic/Center
  • Braselton, GA
  • NPI 1235614074
  NPD (past)
• Douglas Hospital, Inc.

  • General Acute Care Hospital
  • Douglasville, GA
  • NPI 1649247974
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1508887548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD",
            "address_2": "STE 500A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407522",
            "telephone_number": "770-205-2804",
            "fax_number": "770-205-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD",
            "address_2": "STE 500A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407522",
            "telephone_number": "770-205-2804",
            "fax_number": "770-205-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINOKUR",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "036317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "52028255013",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NFMUC_EastCobb@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5610 Bethelview Rd",
            "address_2": "Ste 500A",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300407522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Veronica Dmitriya Wilson, MA, CCC-SLP
• Wallace Edwin Wilson, PA-C
• William Marshall Wilson, NP
• Windermere Dental, P.C.
• Lara Leigh Windom, LPN
• Kelly Dean Winter, CP, LP
• Abigail Leigh Wiseley, PA-C
• Courtney Beth Wisler
• Jenna Wisotsky, PT,DPT
• With Love Home Care LLC

• Emergency Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.