DR. MARK CUSTODIO OLIVER M.D.
NPI 1275649758
Pediatrics in Columbus, GA

Q: What is Mark Oliver's NPI number?

The NPI number for Mark Oliver is 1275649758. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Mark Oliver's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Oliver was last updated on March 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2006

2416 CAPSTONE CT, COLUMBUS, GA 31909(706) 327-1281 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark Custodio Oliver M.d. NPPES

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

DR. MARK CUSTODIO OLIVER M.D. (NPI 1275649758) is an individual pediatrics provider in Columbus, Georgia, licensed in Georgia (048557) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275649758

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MARK CUSTODIO OLIVERCredential: M.D.

Location Address2416 CAPSTONE CTColumbus, GA 31909-2795

Mailing Address2416 Capstone CtColumbus, GA 31909-2795 · (706) 327-1281 · Fax (706) 576-9714

Phone(706) 327-1281

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateMarch 20, 2020

NPPES CertifiedMarch 20, 2020

✔ NPI 1275649758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 048557

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2416 CAPSTONE CT, Columbus, GA 31909

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Other Identifiers 2

Medicaid00867765AGA

Other048557GA · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES 19

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

DR. CHERYL CARROLL M.D.

Pediatrics