Active NPI
Orlin Marquez, APRN, FNP-BC
- Family Nurse Practitioner
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN209008
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Georgia Medical, P.C. | Current | Accepting new patients | |
| Marquez Family Medical Center LLC | Current | Accepting new patients | |
| Premise Health of Georgia Medical PC | Current | Accepting new patients | |
| Premise Health of Georgia Medical PC | Current | 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.
-
dba Centro Medico Familiar
- Primary Care Nurse Practitioner
- Duluth, GA
- NPI 1588318711
-
dba Employees' Family Medical Center
- Family Medicine Physician
- Savannah, GA
- NPI 1407910169
-
dba Premise Health Wellness Center
- Multi-Specialty Clinic/Center
- Tyrone, GA
- NPI 1932840683
-
dba Fieldale Farms Family Medical Center
- Family Medicine Physician
- Baldwin, GA
- NPI 1952465056
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
- Sierra Marcus, MA
- Mark L Shefrin DMD PC
- Mark Lynn OD & Associates (Visionworks)
- Mark Lynn OD & Associates PC (Visionworks)
- Marquez Family Medical Center LLC (Centro Medico Familiar)
- Iridian Rafaela Marquina
- Isla Starr Marrero, NURSE PRACTITIONER
- Elaine Marrocco, PTA
- Akiria Brown Martin
- Gary S. Martin, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.