Marcus Q. Polk, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

040758 Issued in GA

Practice address

76 Highland Pavilion CT Ste 133
Hiram, GA 30141-3170

Phone

(800) 533-8210

Fax

(404) 745-8013

NPI assigned

Nov 16, 2005

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Oregon Health Sciences University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4
• Direct secure messaging: marcus.polk.1@18187.direct.athenahealth.com

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.

• Georgia Pain and Spine Solutions, PC

  • Pain Medicine (Anesthesiology) Physician
  • Hiram, GA
  • NPI 1255820502
  Medicare reassignment NPD Authorized official
• Anesthesia Consultants of Georgia, LLC

  • Specialist
  • Lithonia, GA
  • NPI 1760752430
  NPD Authorized official
• Centers for Pediatric Dental Sedation LLC

  • Dental Clinic/Center
  • College Park, GA
  • NPI 1396108056
  Authorized official Same address or phone
• Herrin CPDS PC

  dba Centers for Pediatric Dental Sedation

  • Pediatric Dentistry
  • Brookhaven, GA
  • NPI 1629584586
  Authorized official Same address or phone
• Pain and Spine Solutions, LLC

  • Specialist
  • Lithonia, GA
  • NPI 1073850988
  Authorized official Same address or phone
• Advanced Anesthesia Associates, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1649260738
  NPD (past)
• Atlanta Sports Medicine Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1225179716
  NPD (past)
• Axis Anesthesia Associates PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1184786584
  NPD (past)
• Priority Anesthesia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1194918979
  NPD (past)
• Progressive Anesthesia LLC

  • Anesthesiology Physician
  • Fayetteville, GA
  • NPI 1215225560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennestone Hospital, Inc.

  dba Wellstar Kennestone Hospital

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626
  Care Compare affiliation
• Kennestone Hospital, Inc.

  dba Wellstar Windy Hill Hospital

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation
• Paulding Medical Center, Inc.

  dba Wellstar Paulding Hospital

  • General Acute Care Hospital
  • Hiram, GA
  • NPI 1457329435
  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1669454575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370160",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300370160",
            "telephone_number": "404-403-4567",
            "fax_number": "404-920-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGHLAND PAVILION CT STE 133",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413170",
            "telephone_number": "800-533-8210",
            "fax_number": "404-745-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Clairmont Rd NE # 100",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303291602",
            "country_code": "US",
            "telephone_number": "404-403-4567",
            "fax_number": "404-920-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLK",
        "first_name": "MARCUS",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "040758",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "040758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050067085",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00820036A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Phillips, RN
• Physicians Pain Clinic of Hiram, P.C.
• Physiotherapy Associates Inc (Physio-Hiram)
• Pinnacle Orthopaedics & Sports Medicine Specialists LLC
• Pinnacle Pediatrics PC
• Premier Internal Medicine
• Presto Medical Supplies Inc
• Debra Price, MA, LPC, CPCS
• Juliette Pridgen
• Casey Pridgeon

• Anesthesiology Physician in Hiram, GA
• Providers in Hiram, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.

Verify at the official NPI Registry.