Individual provider Active NPI

Marcus R Stonecipher, MD

  • Dermatology Physician
  • Decatur, GA
National Provider Identifier
1801904354
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
037087 Issued in GA
Practice address
1951 Clairmont Rd
Decatur, GA 30033-3415
Phone
(404) 321-4600
Fax
(404) 320-0987
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 037087 GA Primary

Addresses

Primary practice location

1951 Clairmont Rd
Decatur, GA 30033-3415

Mailing address

1951 Clairmont Rd
Decatur, GA 30033-3415
Phone (404) 321-4600

Other identifiers 1

IdentifierTypeStateIssuer
00543144AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050131000318 GA Practitioner - Dermatology 4789634445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
East Tennessee State University Quillen College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Associates of Georgia, LLCGroup PAC ID 3678547569, 11 clinicians

Practice addresses (Care Compare)

1951 Clairmont Rd
Decatur, GA 30033-3415
Phone (404) 321-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision114
Removal of skin lesions2749
Removal of skin cancer1-10
Removal or shaving of skin growth15
Skin biopsy988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037087GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Georgia, LLC CurrentSince Jan 1, 1999 Accepting new patients

Locations

1951 Clairmont Rd
Decatur, GA 30033
Phone (404) 321-4600

201 Michael Etchison Rd
Monroe, GA 30655
Phone (770) 267-5877

4285 Johns Creek Pkwy
#A
Suwanee, GA 30024
Phone (770) 622-4412

Interoperability endpoints

  • Direct secure messaging: marcus.stonecipher.p1@direct.dermga.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1801904354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333415",
            "telephone_number": "404-321-4600",
            "fax_number": "404-320-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333415",
            "telephone_number": "404-321-4600",
            "fax_number": "404-320-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONECIPHER",
        "first_name": "MARCUS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "037087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00543144A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.