Individual provider Active NPI

Joel Marquess

  • Diagnostic Radiology Physician
  • Fairbanks, AK
National Provider Identifier
1568637221
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2013-02064 Issued in NC
Practice address
1650 Cowles St
Fairbanks, AK 99701-5907
Phone
(704) 355-0221
Fax
(704) 355-0770
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2013-02064 NC Primary

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5907

Mailing address

PO Box 70378
815 Second Ave, Suite 116
Fairbanks, AK 99707-0378
Phone (704) 355-0221

Other identifiers 1

IdentifierTypeStateIssuer
1616059MedicaidAK

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
I20190610002115 GA Practitioner - Diagnostic Radiology 4385863661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians

Practice addresses (Care Compare)

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-02064NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Bca Georgia, LLC CurrentSince Dec 1, 2022 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations (25 of 59)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 537-3407

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

19 Doctors Way
Ste A
Blairsville, GA 30512

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1568637221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70378",
            "address_2": "815 SECOND AVE, SUITE 116",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997070378",
            "telephone_number": "704-355-0221",
            "fax_number": "704-355-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "704-355-0221",
            "fax_number": "704-355-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUESS",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2013-02064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1616059",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.