Mark Dunham, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN252952 Issued in GA

Practice address

3231 Glynn Ave
Brunswick, GA 31520-4851

Phone

(912) 265-9006

Fax

(912) 554-3636

NPI assigned

Nov 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.dunham.1@16403.direct.athenahealth.com

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.

• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment Care Compare group NPD
• Southern Orthopaedics and Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Brunswick, GA
  • NPI 1477589737
  Medicare reassignment NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Richmond Hill, GA
  • NPI 1548653330
  NPD (past)
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Bluffton, SC
  • NPI 1528451481
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1861865743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204851",
            "telephone_number": "912-265-9006",
            "fax_number": "912-554-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204851",
            "telephone_number": "912-265-9006",
            "fax_number": "912-554-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "MARK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN252952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Drake, NP
• Rose P Draviam, M. D.
• Dublin Vamc
• Lindsey Keen Duffy, PT, DPT
• Lera Dumas, BCBA
• Michael J Dunn, M.D.
• Joseph Durant, LMT, BA
• Candice Joy Dutka, FNP-BC
• Dva Healthcare Renal Care Inc (Brunswick Dialysis)
• Dva Healthcare Renal Care Inc (Brunswick South Dialysis)

• Nurse Practitioner in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.

Verify at the official NPI Registry.