Marc Rocco Macchiaverna, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123781 Issued in GA

Practice address

245 N Highland Ave NE Ste 260
Atlanta, GA 30307-1912

Phone

(404) 589-7799

NPI assigned

May 13, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inman Park Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1235627696
  NPD (past)
• Walter L. Leeks, III DMD, P.C.

  dba New Image Dentistry at Inman Park

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1508076464
  NPD (past)

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1902697733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HOWARD CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071800",
            "telephone_number": "803-600-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071912",
            "telephone_number": "404-589-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIAVERNA",
        "first_name": "MARC",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Mabra
• Van Mac
• Macarthy Transitions MHT LLC
• Natalie Macaruso, M.D.
• Eileen Maccallum, ANP-BC
• Stephen Macciocchi, PHD
• Cameron Reed Macdonald
• Jake Nicholas Macdonald
• Jesse Eli Macdonald, FNP-C
• Kelly Macdonald, CPNP

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.