P Praxis·MD
● Active Type 1 · Individual

DR. Mark John Costantino, MD

Surgery·Athens, GA· NPI 1447247523 · Enumerated 2005 · 20 years on NPI
Costantino is 1 of 2 surgery providers in Athens and 1 of 268 in Georgia.
NPI age
20 years
Enumerated 2005-10-04
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
195 King Ave
Athens, GA 306062963
📞 7065498306fax 7065498351
Mailing address
195 King Ave
Athens, GA 306062963
📞 7065498306fax 7065498351

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #15361 taxonomy 2086S0129X

Practice context

Part of a multi-provider practice. 14 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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