Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK BRADSHAW M.D
NPI 1316107428
Hospitalist in Sandy Springs, GA

Q: What is Mark Bradshaw's NPI number?

The NPI number for Mark Bradshaw is 1316107428. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Q: What is Mark Bradshaw's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bradshaw was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since June 11, 2008PECOS Enrolled

50 GLENLAKE PKWY STE 420, SANDY SPRINGS, GA 30328(551) 295-8223 Get Directions Write a Review

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

Record update history: Jan 26, 2026, Dec 11, 2025, Sep 10, 2025 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Mark Bradshaw M.d NPPES

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

DR. MARK BRADSHAW M.D (NPI 1316107428) is an individual hospitalist provider in Sandy Springs, Georgia, licensed in Georgia (066574) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1316107428

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MARK BRADSHAWCredential: M.D

Location Address50 GLENLAKE PKWY STE 420Sandy Springs, GA 30328-3489

Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (404) 367-3014

Phone(551) 295-8223

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2008

Enumeration DateJune 11, 2008

Last NPPES UpdateJune 19, 20264 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1316107428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 066574

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101286220 (VA), 25IA12524000 (NJ), 04-50270 (KS), 2025052488 (MO), 003457 (GA), D0102042 (MD), ME172056 (FL), 44688 (OK)

50 GLENLAKE PKWY STE 420, Sandy Springs, GA 30328

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Secondary Practice Locations 6

Location 1101 W Hefner Rd Fl 2ndOklahoma City, OK 73114-6631 · Phone (551) 295-8223

Location 23209 S Broadway Ste 229Edmond, OK 73013-4064 · Phone (551) 295-8223

Location 320130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · Phone (703) 865-2144

Location 4101 Greenwood Ave Ste 140Jenkintown, PA 19046-2649 · Phone (973) 241-1356

Location 5345 N Riverview St Ste 412Wichita, KS 67203-4202 · Phone (551) 295-8223

Location 6801 E Douglas Ave Fl 2ndWichita, KS 67202-3515 · Phone (551) 295-8223

Other Identifiers 1

Medicaid003112987DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Bradshaw M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608049275

PECOS Enrollment IDI20111026000362, I20250312003711, I20251212002175, I20251218004325, I20260105003445, I20260106003356, I20260121002348, I20260602000141

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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

2,961 services1,019 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

2,381 services790 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

1,234 services199 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

1,026 services571 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

1,022 services569 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

885 services237 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

574 services169 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

267 services227 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

121 services94 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

103 services103 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

78 services50 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

76 services58 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

46 services29 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

45 services31 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

42 services42 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

26 services25 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

26 services25 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

24 services17 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

16 services12 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110036

Location4700 Waters AvenueSavannah, GA 31404 · Chatham County

Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110215

Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Dementia: Cognitive Assessment

Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period

13%38 patients1/55-star benchmark: 100%

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

13%30 patients1/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%1,199 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 82% · 100 patients

89%100 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

2 suppliers21 claims798 services$6.03 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

2 suppliers12 claims927 services$2.55 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers12 claims365 services$4.51 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers19 claims36 services$7.24 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

2 suppliers18 claims30 services$3.17 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

4 suppliers42 claims1,178 services$2.66 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers52 claims1,452 services$4.52 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier21 claims7,839 services$0.30 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

4 suppliers38 claims22,143 services$0.26 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

3 suppliers17 claims9,707 services$0.55 avg. paid by Medicare

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155

Other-Enteral and Parenteral · category OB006N

3 suppliers18 claims773 services$0.52 avg. paid by Medicare

Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each E0168

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.58 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

2 suppliers33 claims33 services$8.40 avg. paid by Medicare

Gel or gel-like pressure pad for mattress, standard mattress length and width E0185

DME-Other DME · category DE000N

8 suppliers23 claims23 services$151.30 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

9 suppliers250 claims250 services$41.76 avg. paid by Medicare

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303

DME-Hospital Beds · category DB000N

4 suppliers33 claims33 services$109.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers64 claims72 services$15.50 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers47 claims47 services$2.88 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers24 claims24 services$29.41 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

7 suppliers91 claims91 services$39.08 avg. paid by Medicare

Patient lift, electric with seat or sling E0635

DME-Other DME · category DE000N

2 suppliers22 claims22 services$89.48 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

2 suppliers18 claims18 services$9.71 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$183.03 avg. paid by Medicare

Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each E1226

DME-Wheelchairs · category DD021N

3 suppliers19 claims19 services$29.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers120 claims128 services$64.24 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$31.76 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

8 suppliers53 claims53 services$17.65 avg. paid by Medicare

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$65.36 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

6 suppliers64 claims64 services$8.25 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers56 claims56 services$209.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers20 claims20 services$30.16 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers12 claims12 services$24.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

SHALEA GOLDSON

Nurse Practitioner (Family)

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (770) 637-1359

RONDREA POWELL NURSE PRACTITIONER

Nurse Practitioner (Adult Health)

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (770) 637-1359

WENDY ELIZABETH JENKINS

Nurse Practitioner

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (404) 595-2210

ENNOBLE HOSPICE GA LLC

Hospice Care, Community Based

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (404) 595-2210

OCTAVIA SYMONE MARSHALL NP-C

Nurse Practitioner (Family)

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (404) 445-5304

MONET REBECCA WEBB

Nurse Practitioner (Family)

50 GLENLAKE PKWY STE 420
SANDY SPRINGS, GA 30328

Fulton County (404) 595-2210

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 Mark Bradshaw's NPI number?

The NPI number for Mark Bradshaw is 1316107428. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Mark Bradshaw located?

Mark Bradshaw practices at 50 Glenlake Pkwy Ste 420, Sandy Springs, GA 30328. The listed phone number is (551) 295-8223.

What is Mark Bradshaw's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Bradshaw enrolled in Medicare?

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

What insurance does Mark Bradshaw accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mark Bradshaw 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.

Is Mark Bradshaw affiliated with any hospitals?

According to CMS data, Mark Bradshaw is affiliated with Memorial University Medical Center and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Mark Bradshaw was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.