MARLON CHARLES FNP-C
NPI 1083409676
Nurse Practitioner - Family in Valdosta, GA

Active since April 14, 2025PECOS EnrolledAccepts Medicare Assignment
2707 N BARACK OBAMA BLVD, VALDOSTA, GA 31602(229) 316-8116 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Mar 19, 2026, Nov 13, 2025 (3 updates tracked since 2025).

About Marlon Charles Fnp-c NPPES

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

MARLON CHARLES FNP-C (NPI 1083409676) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN215030) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Valdosta, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083409676
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARLON CHARLESCredential: FNP-C
Location Address2707 N BARACK OBAMA BLVDValdosta, GA 31602-2057
Mailing Address5202 Humphreys RdLake Park, GA 31636-4345 · (954) 288-2915
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 14, 2025
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1083409676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN215030
Also ListedRegistered NurseTaxonomy 163W00000X · License RN215030 (GA)
2707 N BARACK OBAMA BLVD, Valdosta, GA 31602

Secondary Practice Location 1

Location 12301 N Ashley StValdosta, GA 31602-2620 · Phone (229) 270-2403

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlon Charles Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840705372
PECOS Enrollment IDI20250714003968
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marlon Charles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2412 N OAK ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
204 E 4TH ST
Ocilla, GA 31774
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Family Medicine
2707 N BARACK OBAMA BLVD
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2707 N BARACK OBAMA BLVD
VALDOSTA, GA 31602
Clinic/Center (Federally Qualified Health Center (FQHC))
2707 N BARACK OBAMA BLVD
VALDOSTA, GA 31602
Nurse Practitioner
2707 N BARACK OBAMA BLVD
VALDOSTA, GA 31602

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 Marlon Charles's NPI number?

The NPI number for Marlon Charles is 1083409676. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Marlon Charles located?

Marlon Charles practices at 2707 N Barack Obama Blvd, Valdosta, GA 31602. The listed phone number is (229) 316-8116.

What is Marlon Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marlon Charles enrolled in Medicare?

Yes. Marlon Charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marlon Charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Charles reassigns Medicare benefits to 2 organizations: Valdosta Family Medicine Associates, P.C. (Valdosta, GA) and South Central Primary Care Center, Inc (Ocilla, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlon Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlon Charles accept?

Health plans from Oscar Health list Marlon Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlon Charles was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.