Active NPI
Daniel Grier Marshburn, MD
- Anesthesiology Physician
- Atlanta, GA
National Provider Identifier
1689611782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 020772
- Practice address
- 303 Parkway Dr NE
PMB 404
Atlanta, GA 30312-1212 - Phone
- (404) 265-4520
- Fax
- (404) 265-3894
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 020772 | GA | Primary |
| Anesthesiology Physician | 207L00000X | 0099-01573 | NC |
Addresses
Primary practice location
303 Parkway Dr NE
PMB 404
Atlanta, GA 30312-1212
Mailing address
PO Box 932925
Atlanta, GA 31193-2925
Phone (800) 364-9216
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982637419 | Other | GA | GROUP NPI |
| 951702 | Other | GA | BCBSGA (AMC) |
| 1689611782 | Other | GA | NPI |
| 000223847I | Medicaid | GA | |
| 004550 | Other | GA | BCBSGA (NSC) |
| P00174521 | Other | GA | RAILROAD MEDICARE |
| 330146 | Other | GA | WELLCARE MEDICAID |
| 000223847K | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0099-01573 | NC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1689611782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932925",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932925",
"telephone_number": "800-364-9216",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"address_2": "PMB 404",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-265-4520",
"fax_number": "404-265-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHBURN",
"first_name": "DANIEL",
"middle_name": "GRIER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "020772",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "0099-01573",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982637419",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSGA (AMC)",
"identifier": "951702",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1689611782",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000223847I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSGA (NSC)",
"identifier": "004550",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00174521",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICAID",
"identifier": "330146",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000223847K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.