MARK L WETHERLY MD NPI 1578515128

NPI Information

  • NPI: 1578515128
  • Provider Name: MARK L WETHERLY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 790 CHURCH ST NE
    STE 400
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 952-8899

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NPI Details

Mark L Wetherly, MD is a diagnostic radiology radiology in Marietta, GA with 37 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark L Wetherly, MD NPI is 1578515128. 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:

790 CHURCH ST NE
STE 400
MARIETTA, GA
ZIP 30060-282
Phone: (770) 952-8899

The NPI 1578515128 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 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 chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of chest without contrast (HCPCS:71250)
  • 3d radiographic procedure (HCPCS:76376)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • 3d radiographic procedure (HCPCS:76376)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/10/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology050851GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130BDKGRMEDICARE PINGEORGIA
2H55802MEDICARE UPIN
3000940332MEDICAIDGEORGIA

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: 11/21/2025

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