Individual provider Active NPI

Andrew Hall Marky

  • Neurological Surgery Physician
  • Charlotte, NC
National Provider Identifier
1679898548
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2019-00191 Issued in NC
Practice address
7825 Ballantyne Commons Pkwy Ste 150
Charlotte, NC 28277-3175
Phone
(704) 316-3070
Fax
(704) 316-3071
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Q6652 TX
Neurological Surgery Physician 207T00000X 2019-00191 NC Primary

Addresses

Primary practice location

7825 Ballantyne Commons Pkwy Ste 150
Charlotte, NC 28277-3175

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other identifiers 3

IdentifierTypeStateIssuer
362033801MedicaidTX
8GA358OtherTXBCBS
8GA344OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amarky699493@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160808000277 TX Practitioner - Neurosurgery 5698069144 Reassigns benefits to 1 organization
I20190619002348 NC Practitioner - Neurosurgery 5698069144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

773 Stockbridge Dr
Fort Mill, SC 29708-7200
Phone (803) 992-8030

7825 Ballantyne Commons Pkwy
Suite 150
Charlotte, NC 28277-3175
Phone (704) 316-3070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion234
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00191NCMDNeurological Surgery Physician
Q6652TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

7825 Ballantyne Commons Pkwy
Ste 150
Charlotte, NC 28277
Phone (704) 316-3070

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

2801 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-4800

311 Coddle Market Dr NW
Ste 200
Concord, NC 28027
Phone (704) 384-1390

10305 Hamptons Park Dr
Ste 101
Huntersville, NC 28078
Phone (704) 316-5388

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

190 Kimel Park Dr
Ste 140
Winston Salem, NC 27103
Phone (336) 277-2225

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: amarky699493@direct.novanthealth.org

Organizations & group practices 6

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 8

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1679898548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 BALLANTYNE COMMONS PKWY STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773175",
            "telephone_number": "704-316-3070",
            "fax_number": "704-316-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKY",
        "first_name": "ANDREW",
        "middle_name": "HALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q6652",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2019-00191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362033801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GA358",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GA344",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amarky699493@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "7825 Ballantyne Commons Pkwy Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.