NPI Details
Mark Russell Ling, M.D., PH.D. is a procedural dermatology dermatology in Newnan, GA with 41 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Mark Russell Ling, M.D., PH.D. NPI is 1639153638. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984
The provider's business location address is:
710 NEWNAN CROSSING BYPASS
SUITE A
NEWNAN, GA
ZIP 30263-321
Phone: (770) 251-5111
Fax: (770) 254-8680
The NPI 1639153638 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.
- Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Application of light to destroy precancer skin growth (HCPCS:96567)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
- Biopsy of ear (HCPCS:69100)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 12/2/2005 and was last updated on 3/31/2023.
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 |
1 | 207N00000X | Dermatology | | 034647 | GEORGIA | No |
2 | 207NS0135X | Dermatology | Procedural Dermatology | 034647 | GEORGIA | Yes |
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 |
1 | 4279563008 | OTHER | GEORGIA | CIGNA HMO |
2 | 0390142 | OTHER | GEORGIA | UHC |
3 | 070012632 | OTHER | GEORGIA | RAIL ROAD MEDICARE |
4 | 2117569 | OTHER | GEORGIA | AETNA HMO |
5 | 00469246C | MEDICAID | GEORGIA | |
6 | 4318069 | OTHER | GEORGIA | AETNA NON-HMO |