C David Markle, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

011417 Issued in GA

Practice address

1599 Mulkey Rd
Austell, GA 30106-1111

Phone

(770) 948-4455

Fax

(770) 819-8824

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cobb Hospital, Inc

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1952461667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061111",
            "telephone_number": "770-948-4455",
            "fax_number": "770-819-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061111",
            "telephone_number": "770-948-4455",
            "fax_number": "770-819-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "C",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "011417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064864E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Manuel, FNP
• Sharon Maraman
• Michelle Taylor Marbury, PHARMD BCPS BCCCP
• Gregory P. March, PT
• Eric Stephen Markham, NP
• Ryan Giammanco Markus, DPT
• Maggi Stuart Markwell
• Marnita Stevenson DMD Holdings, LLC
• Leisa L Marshall, PHARM.D., CGP
• Melissa Anne Martel, PA-C

• Internal Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.