KEELIANN LEIGH MARK DO
NPI 1073365193
Student in an Organized Health Care Education/Training Program in Rome, GA

Active since April 02, 2024PECOS Enrolled
304 SHORTER AVE NW STE 201, ROME, GA 30165(706) 509-3300 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keeliann Leigh Mark Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELIANN LEIGH MARK DO (NPI 1073365193) is an individual student in an organized health care education/training program in Rome, Georgia and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073365193
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEELIANN LEIGH MARKCredential: DO
Location Address304 SHORTER AVE NW STE 201Rome, GA 30165-4256
Mailing Address304 Shorter Ave Nw Ste 201Rome, GA 30165-4256 · (706) 509-3300
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1073365193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
304 SHORTER AVE NW STE 201, Rome, GA 30165

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keeliann Leigh Mark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
304 SHORTER AVE NW STE 201
ROME, GA 30165
Student in an Organized Health Care Education/Training Program
304 SHORTER AVE NW STE 201
ROME, GA 30165
Student in an Organized Health Care Education/Training Program
304 SHORTER AVE NW STE 201
ROME, GA 30165
Student in an Organized Health Care Education/Training Program
304 SHORTER AVE NW STE 201
ROME, GA 30165
Student in an Organized Health Care Education/Training Program
304 SHORTER AVE NW STE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW STE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW STE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW STE 201
ROME, GA 30165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keeliann Mark's NPI number?

The NPI number for Keeliann Mark is 1073365193. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Keeliann Mark located?

Keeliann Mark practices at 304 Shorter Ave NW Ste 201, Rome, GA 30165. The listed phone number is (706) 509-3300.

What is Keeliann Mark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keeliann Mark enrolled in Medicare?

Yes. Keeliann Mark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keeliann Mark was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.