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KELLEY W. MARSHALL MD NPI 1962475582


NPI Information

NPI: 1962475582
Provider Name: KELLEY W. MARSHALL, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

PECOS Registration: Yes

Address:
7795 LANDOWNE DR
ATLANTA, GA
ZIP 30350
Phone: (770) 730-8535
Get Directions

Kelley W. Marshall, MD is a pediatric radiology radiology in Atlanta, GA. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Kelley W. Marshall, MD NPI is 1962475582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7795 LANDOWNE DR
ATLANTA, GA
ZIP 30350-063
Phone: (770) 730-8535
Fax: (770) 730-8535

The NPI 1962475582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085P0229XRadiologyPediatric Radiology048372GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100044200OTHERKENTUCKYKY MEDICAID-NORTON
2200928350MEDICAIDINDIANA
3000023033OOTHERKENTUCKYHUMANA/NORTON
400533044OTHERKENTUCKYMEDICARE
5000000568993OTHERKENTUCKYANTHEM/NORTON
650019563OTHERKENTUCKYPASSPORT/NORTON
7000852893MEDICAIDGEORGIA
8096946OTHERKENTUCKYSIHO/NORTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.