Individual provider Active NPI

Tracey Irvin Marks, MD

  • Psychiatry Physician
  • Johns Creek, GA
National Provider Identifier
1942281324
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50185 Issued in GA
Practice address
11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone
(404) 327-5194
Fax
(404) 719-5067
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50185 GA Primary
Forensic Psychiatry Physician 2084F0202X 50185 GA

Addresses

Primary practice location

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200

Mailing address

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone (404) 327-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50185GAMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1942281324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "404-327-5194",
            "fax_number": "404-719-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "404-327-5194",
            "fax_number": "404-719-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "TRACEY",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "50185",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "50185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.