Individual provider Active NPI

Mark H Middleton, MD

  • Surgery Physician
  • Athens, GA
National Provider Identifier
1710977202
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
55154 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(706) 475-5076
NPI assigned
Oct 26, 2005
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mmiddleton123236@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, KS, NE, ME, CO6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20041027000371 GA Practitioner - General Surgery 6608838230 Reassigns benefits to 2 organizations
I20220126001200 AL Practitioner - Critical Care (Intensivists) 6608838230 Reassigns benefits to 2 organizations
I20240220002837 KS Practitioner - General Surgery 6608838230 Reassigns benefits to 2 organizations
I20241011001208 NE Practitioner - General Surgery 6608838230 Reassigns benefits to 1 organization
I20241031003361 ME Practitioner - General Surgery 6608838230 Reassigns benefits to 3 organizations
I20260501001497 CO Practitioner - General Surgery 6608838230 Reassigns benefits to 1 organization

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
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24162ALMDPharmacist
55154GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Apr 20, 2023 Accepting new patients
CHI Health Clinic Specialty, LLC Surgery CurrentSince Oct 13, 2024 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 31, 2022 Accepting new patients
MRH Corp. CurrentSince Oct 28, 2024 Accepting new patients
MRH Corp. CurrentSince Oct 28, 2024 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 31, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Nov 15, 2021 Accepting new patients
Baptist Health Centers LLC CurrentSince Apr 20, 2023 Accepting new patients
Adventist Health System Georgia Inc CurrentSince May 15, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Feb 14, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 29, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 29, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Feb 14, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Jun 1, 2024 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

  • Direct secure messaging: mmiddleton1089842@ahs.direct-ci.com
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.