Individual provider Active NPI

Marlon Fisher, MD

  • Emergency Medicine Physician
  • Marietta, GA
National Provider Identifier
1508894767
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
055943 Issued in GA
Practice address
2913 Kings Walk Ave
Marietta, GA 30062-4503
Phone
(202) 425-3474
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 055943 GA Primary

Addresses

Primary practice location

2913 Kings Walk Ave
Marietta, GA 30062-4503

Mailing address

2913 Kings Walk Ave
Marietta, GA 30062-4503
Phone (202) 425-3474

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050826000187 GA Practitioner - Emergency Medicine 1153376850 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055943GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerginet Henry, LLC CurrentSince Sep 1, 2016 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 4, 2014 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
North Fulton Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 15, 2015 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Emerginet, LLC CurrentSince Sep 1, 2016 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Apr 9, 2024 Accepting new patients
Howard University Emergency Medicine Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Monacan Emgergency Physicians Emergency Medicine Past Accepting new patients
Commonwealth Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Interoperability endpoints

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

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1508894767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 KINGS WALK AVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624503",
            "telephone_number": "202-425-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KINGS WALK AVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624503",
            "telephone_number": "202-425-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARLON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "055943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.