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DR. MARK R. LIGHT DPM NPI 1427055805


NPI Information

NPI: 1427055805
Provider Name: DR. MARK R. LIGHT, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4439 ROSWELL RD
MARIETTA, GA
ZIP 30062
Phone: (770) 977-8221
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DR. Mark R. Light, DPM is a foot and ankle surgery podiatrist in Marietta, GA with 35 years of experience. DR. Mark R. Light, DPM NPI is 1427055805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4439 ROSWELL RD
MARIETTA, GA
ZIP 30062-452
Phone: (770) 977-8221
Fax: (770) 977-8222

The NPI 1427055805 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 9/13/2016.


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
1213ES0103XPodiatristFoot & Ankle Surgery00630GEORGIAYes

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
1REF000049272OTHERGEORGIAPEACHCARE MEDICARE
2412063128OTHERGEORGIATAX ID #
3U18990MEDICARE UPINGEORGIA
448SCCLGMEDICARE PINGEORGIA
54830810001OTHERGEORGIADMERC
63026473OTHERGEORGIAAETNA HMO
7005480OTHERGEORGIABCBS
84137290OTHERGEORGIAAETNA PPO
9480034802OTHERGEORGIARAILROAD MEDICARE
10000467618BMEDICAIDGEORGIA

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.