Godfrey J Mark (NPI# 1740442318, PAC ID# 0042352726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740442318 |
| PAC ID by PECOS | 0042352726 |
| Professional Enrollment ID | I20100119000114 |
| Full Name | Godfrey J Mark |
| Organization Legal Name | URBAN FAMILY PRACTICE ASSOCIATES, P.C. |
| Address |
2520 Windy Hill Rd Suite 301 Marietta GA 30067-8653 |
| Phone Number | 7709521032 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486645108 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 | 7709521032 | URBAN FAMILY PRACTICE ASSOCIATES, P.C. |
| Organization Legal Name | URBAN FAMILY PRACTICE ASSOCIATES, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miles Eli Brett | Family Medicine | Urban Family Practice Associates, P.C. | 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 |
| Cedrice Nichole Davis | Family Medicine | Urban Family Practice Associates, P.C. | 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 |
| Andrea S. Videlefsky | Family Medicine | Urban Family Practice Associates, P.C. | 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 |
| Street Address |
2520 WINDY HILL RD SUITE 301 |
| City | MARIETTA |
| State | GA |
| Zip | 30067-8653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miles Eli Brett | Family Medicine | Urban Family Practice Associates, P.C. | 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 |
| Ryan Alexander Goldfine | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| Cedrice Nichole Davis | Family Medicine | Urban Family Practice Associates, P.C. | 2520 Windy Hill Rd, Suite 301, Marietta, GA 30067-8653 |
| David L Perlow | Urology | 2520 Windy Hill Rd, Suite 305, Marietta, GA 30067-8653 | |
| Yixi K Lu | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| Ketan B Patel | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| Saba V Bejanishvili | Neurology | 2520 Windy Hill Rd, Suite 107, Marietta, GA 30067-8633 | |
| Drew D Xenos | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| Randall Hanson | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| George E Zislis | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2520 Windy Hill Rd, Suite 105, Marietta, GA 30067-8633 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svathi M Reddy | Psychiatry | 1640 Powers Ferry Rd, Bldg 17 Suite 100, Marietta, GA 30067-1419 | |
| Piyush C Patel | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jason M Jian | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Olajide Fawehinmi | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jasmine Young | Nurse Practitioner | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Joan R Funk | Clinical Social Worker | 1640 Powers Ferry, Suite 100, Marietta, GA 30067-1437 | |
| Yolanda P Bowdre | Occupational Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Fatima German | Physical Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Ama Browne | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Bessie Martin-jackson | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Find all physicians in zip 30067 | |||
| City | MARIETTA |
| Zip Code | 30067 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARIETTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Godfrey J Mark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.