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

Active since April 14, 2025PECOS EnrolledAccepts Medicare Assignment
2301 N ASHLEY ST, VALDOSTA, GA 31602(229) 270-2403 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Nov 13, 2025 (2 updates tracked since 2025).

About Marlon Charles Np NPPES

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

MARLON CHARLES NP (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: NP
Location Address2301 N ASHLEY STValdosta, GA 31602-2620
Mailing Address5202 Humphreys RdLake Park, GA 31636-4345 · (954) 288-2915
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 14, 2025
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 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)
2301 N ASHLEY ST, Valdosta, GA 31602

Secondary Practice Location 1

Location 12707 N Barack Obama BlvdValdosta, GA 31602-2057 · Phone (229) 316-8116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marlon Charles Np 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.

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 9

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

Pharmacy
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Internal Medicine (Infectious Disease)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Adult Health)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Specialist
2301 N ASHLEY ST
VALDOSTA, GA 31602
Clinic/Center (Federally Qualified Health Center (FQHC))
2301 N ASHLEY ST
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 2301 N Ashley St, Valdosta, GA 31602. The listed phone number is (229) 270-2403.

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.

When was this NPI record last updated?

The NPPES record for Marlon Charles was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.