DR. CHARLES GREGORY MARDIS M.D.
NPI 1487752911
Internal Medicine in Atlanta, GA

Q: What is Charles Mardis's NPI number?

The NPI number for Charles Mardis is 1487752911. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Charles Mardis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mardis was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 20, 2006PECOS Enrolled

1438 W PEACHTREE ST NW, ATLANTA, GA 30309(470) 283-7349(833) 689-2507 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025, Jul 3, 2024 (3 updates tracked since 2024).

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About Dr. Charles Gregory Mardis M.d. NPPES

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

DR. CHARLES GREGORY MARDIS M.D. (NPI 1487752911) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (110089) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487752911

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CHARLES GREGORY MARDISCredential: M.D.

Location Address1438 W PEACHTREE ST NWAtlanta, GA 30309-2955

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(470) 283-7349

Fax(833) 689-2507

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1487752911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 110089

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1438 W PEACHTREE ST NW, Atlanta, GA 30309

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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. Charles Gregory Mardis M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

Other Providers at the Same Location NPPES 8

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

MR. JAMES DYLAN LACKEY FNP-BC

Nurse Practitioner (Family)