Kevin Dwain Marler, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

55782 Issued in GA

Practice address

440 Prime PT
Peachtree City, GA 30269-3309

Phone

(770) 487-1454

NPI assigned

Sep 19, 2007

Last updated

Jan 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1932395415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PRIME PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693309",
            "telephone_number": "770-487-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PRIME PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693309",
            "telephone_number": "770-487-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "KEVIN",
        "middle_name": "DWAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "55782",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51203",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "28318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Marcellino
• Laura Marchese, R.D.N., L.D.
• Noah Marchese, DC
• Barry K Marcum, DMD
• Mark Lynn O.D. & Associates, P.C. (Visionworks)
• Joshua Adam Martin, PA-C
• Stephanie Martin
• Alfonso Martinez, PH.D.
• Marvelously Adorned, LLC
• Sydney Mason Weaver, ARNP

• General Practice Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.