Mark Everett Wittmer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

048862 Issued in GA

Practice address

104 N Belair Rd Ste 101
Evans, GA 30809-6502

Phone

(706) 922-3669

NPI assigned

Mar 1, 2007

Last updated

Mar 10, 2015By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Med Now Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Evans, GA
  • NPI 1245475771

  Family Medicine

  NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1548398555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096502",
            "telephone_number": "706-922-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096502",
            "telephone_number": "706-922-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMER",
        "first_name": "MARK",
        "middle_name": "EVERETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875036B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Wimberly
• Melvin Leonard Wimmer III, PT, DPT
• Wind and Willow
• Mary Elizabeth Wise, NP-C
• Mykel Wise, RBT
• Women's Massage Center
• Women's Physical Therapy of Evans,Inc.
• Sally Edwards Wood, RN, IBCLC
• Danielle Elise Wortham, P.T.
• William Curtis Wright, DMD

• Family Medicine Physician in Evans, GA
• Providers in Evans, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.