P Praxis·MD
● Active Type 1 · Individual

Brenda L Marino, MD

Pediatrics·Marietta, GA· NPI 1023059581 · Enumerated 2006 · 19 years on NPI
Marino is 1 of 6 pediatrics providers in Marietta and 1 of 187 in Georgia.
NPI age
19 years
Enumerated 2006-06-08
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 187 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
677 Church St, Hospital Based Only Kennestone Wellstar
Marietta, GA 30060
📞 7707793603fax 7707939925
Mailing address
Po Box 4214
Marietta, GA 30061
📞 7704274800fax 7704273653

Specialties

  • Pediatrics Primary
    A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
    GA license #016392 taxonomy 2080N0001X

Identifiers

TypeValueNotes
05 (GA) 00088646B

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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