Active NPI
Marc Anthony Chetta, M.D.
- Emergency Medicine Physician
- Clarkesville, GA
National Provider Identifier
1528045655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 035025
- Practice address
- 480 Barron Dr
Clarkesville, GA 30523-5501 - Phone
- (706) 754-1011
- NPI assigned
- Dec 29, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 035025 | GA | Primary |
Addresses
Primary practice location
480 Barron Dr
Clarkesville, GA 30523-5501
Mailing address
480 Barron Dr
Clarkesville, GA 30523-5501
Phone (706) 754-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00474042A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Demorest, GA
- NPI 1194776914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528045655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 BARRON DR",
"city": "CLARKESVILLE",
"state": "GA",
"postal_code": "305235501",
"telephone_number": "706-754-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 BARRON DR",
"city": "CLARKESVILLE",
"state": "GA",
"postal_code": "305235501",
"telephone_number": "706-754-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHETTA",
"first_name": "MARC",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "035025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00474042A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkesville, GA
- Erin Faith Byers
- Rebecca Lea Calvert Lehmicke
- Cary S. Miller, DMD, PC
- Centerpoint Counseling Services
- Cheston B. Kimsey, Jr. DDS,PC
- Chiropractic Spine Center of North Georgia, Inc.
- Clarkesville Counseling & Mediation Services, Inc
- Clarkesville Dermatology & Medical Associates LLC
- Clarkesville Drug Compounding
- Clarkesville Drug Inc (Clarkesville Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.