Individual provider Active NPI

Orlin Marquez, APRN, FNP-BC

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1659771434
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209008 Issued in GA
Practice address
3840 Peachtree Industrial Blvd Ste 250
Duluth, GA 30096-5034
Phone
(678) 585-4959
Fax
(470) 395-9127
NPI assigned
Aug 28, 2014
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 RN209008 GA Primary

Addresses

Primary practice location

3840 Peachtree Industrial Blvd Ste 250
Duluth, GA 30096-5034

Mailing address

3840 Peachtree Industrial Blvd Ste 250
Duluth, GA 30096-5034
Phone (678) 585-4959

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL doximity.com
SOAP URL https://www.konzax.org/cgi-bin/index.cgi Health Information Exchange (HIE)

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
I20141103000446 GA Practitioner - Nurse Practitioner 5395966576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquez Family Medical Center LLCGroup PAC ID 8921493131, 2 clinicians

Practice addresses (Care Compare)

3840 Peachtree Industrial Blvd
Duluth, GA 30096-5034
Phone (678) 524-2730

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Georgia Medical, P.C. Current Accepting new patients
Marquez Family Medical Center LLC CurrentSince Mar 1, 2022 Accepting new patients
Premise Health of Georgia Medical PC CurrentSince Feb 1, 2016 Accepting new patients
Premise Health of Georgia Medical PC CurrentSince Feb 1, 2016 Accepting new patients

Locations

184 Professional Dr
Unit B
Baldwin, GA 30511
Phone (706) 894-2714

3840 Peachtree Industrial Blvd
Ste 250
Duluth, GA 30096
Phone (678) 524-2730

16906 Collection Ctr Dr
Chicago, IL 60693

623 SW 10th Ave
Topeka, KS 66612

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1659771434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965034",
            "telephone_number": "678-585-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965034",
            "telephone_number": "678-585-4959",
            "fax_number": "470-395-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ORLIN",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doximity.com",
            "affiliation": "N",
            "address_1": "3840 Peachtree Industrial Blvd Ste 250",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300965034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.konzax.org/cgi-bin/index.cgi",
            "affiliation": "N",
            "endpointDescription": "HealthE Paradigm",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "623 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666121615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.