Active NPI
Mark H Middleton, MD
- Surgery Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 55154
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-5076
- NPI assigned
- Oct 26, 2005
- Last updated
- Oct 1, 2026
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 55154 | GA | Primary |
| Surgery Physician | 208600000X | 04-48942 | KS |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
PO Box 100460
Atlanta, GA 30384-0460
Phone (770) 410-4661
Other practice location 1
2500 Hospital Boulevard
Suite 420
Roswell, GA 30076-4919
Phone (770) 410-4661
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmiddleton123236@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL, KS, NE, ME, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4560
Phone (970) 522-2264
2620 W Faidley Ave
St Francis Medical Center
Grand Island, NE 68803-4205
Phone (308) 384-4600
417 State St
Suite 340
Bangor, ME 04401-6634
Phone (207) 973-4949
Hospital & facility affiliations
- CHI Health St. Francis
- University of Kansas Health System - St Francis Campus
- Northern Light Eastern Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24162 | AL | MD | Pharmacist |
| 55154 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Surgery | Current | Accepting new patients |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Surgery | Past | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
803 North St E
Talladega, AL 35160
Phone (256) 315-2252
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
901 SW Garfield Ave
Topeka, KS 66606
417 State St
Ste 340
Bangor, ME 04401
Phone (207) 973-4949
489 State St
Bangor, ME 04401
Phone (207) 973-8837
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
Interoperability endpoints
- mmiddleton1089842@ahs.direct-ci.com
- mmiddleton143492@stormontvaildirect.org
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
dba Cotton O'Neil
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1770008849
-
dba Stormont Vail Health DME
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba CHI Health St. Francis
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
-
dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1710977202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100460",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840460",
"telephone_number": "770-410-4661",
"fax_number": "770-410-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-5076"
}
],
"practiceLocations": [
{
"address_1": "2500 Hospital Boulevard",
"address_2": "Suite 420",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764919",
"country_code": "US",
"telephone_number": "770-410-4661",
"fax_number": "770-410-4664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "55154",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-48942",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmiddleton123236@directwellstar.org",
"affiliation": "N",
"address_1": "2500 Hospital Boulevard",
"address_2": "Suite 420",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300764919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.