NPI age
18 years
Enumerated 2007-09-13
● Active Type 2 · Organization
Subpart
Mark Byron MD Pc
Mark Byron MD Pc is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Byron
MD Owner
Last NPPES update
2011-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
162 Memorial Dr
Jesup, GA 315450101
Mailing address
162 Memorial Dr
Jesup, GA 315450101
Authorized official
Mark Daniel Byron, M.D.
MD Owner
📞 9124278033
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP 4653 | MEDICARE GROUP NUMBER |
| 05 (GA) | 00833599B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
wayne urology
Practice context
Single-site organization. Only one practice location on file.
Subpart of Mark Byron MD Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.