Individual provider Active NPI

Victoria D. Marks, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1558748343
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN112271 Issued in GA
Practice address
2464 Roswell Rd
Marietta, GA 30062-4954
Phone
(678) 732-1500
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN112271 GA Primary

Addresses

Primary practice location

2464 Roswell Rd
Marietta, GA 30062-4954

Mailing address

3747 Roswell Rd
Suite 216
Marietta, GA 30062-6215
Phone (470) 956-1496

Other practice location 1

3747 Roswell Rd
Suite 216
Marietta, GA 30062-6215
Phone (470) 956-1496

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207002760 GA Practitioner - Nurse Practitioner 9931409356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

2464 Roswell Rd
Marietta, GA 30062-4954
Phone (678) 732-1525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 19, 2015 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 19, 2015 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

2464 Roswell Rd
Marietta, GA 30062
Phone (678) 560-4781

3747 Roswell Rd
Ste 216
Marietta, GA 30062
Phone (770) 973-2272

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1558748343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD",
            "address_2": "SUITE 216",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626215",
            "telephone_number": "470-956-1496",
            "fax_number": "770-973-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624954",
            "telephone_number": "678-732-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 Roswell Rd",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626215",
            "country_code": "US",
            "telephone_number": "470-956-1496",
            "fax_number": "770-973-9245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "VICTORIA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN112271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.