Marc Blaine Anderson
Individual provider Active NPI Physician Assistant · Dalton, GA
NPI 1609613629 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1609613629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12617 (GA)
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 272-6000
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associates in Orthopedics and Sports Medicine PC
Hamilton Medical Center, Inc
Practice addresses (Care Compare)
1104 Professional Blvd
Dalton, GA 30720-2588
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
1300 Cleo Way
Suite 100
Dalton, GA 30720-8442
Phone (706) 226-5533
Hospital & facility affiliations
- Hamilton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721003368 | GA | Practitioner - Physician Assistant | 1951817543 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12617 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Medical Center, Inc. | Current |
Accepting new patients | |
| Hamilton Physician Group Inc | Current |
Accepting new patients |
Locations
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12617 | GA | Yes |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
Other practice location 1
1300 Cleo Way
Dalton, GA 30720-8442
Phone (706) 226-5533
Other providers in Dalton, GA
- American Current Care P.a.
- Ameripartner Inc.
- Abdulrahman Sari Amro
- Ananra, LLC
- Josie Christine Anderson
- Merri Anderson
- Lyndsey Alyssa Andrews
- Anesthesia Associates of Dalton
- Ansana LLC
- John S Antalis
All providers in Dalton, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.