MR. MARSHALL LOGAN JR. NP-C
NPI 1699231019
Nurse Practitioner - Family in Atlanta, GA

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
865 N HIGHLAND AVE NE, ATLANTA, GA 30306(404) 733-6089 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2020, Feb 11, 2019 (2 updates tracked since 2019).

About Mr. Marshall Logan Jr. Np-c NPPES

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

MR. MARSHALL LOGAN JR. NP-C (NPI 1699231019) is an individual family provider in Atlanta, Georgia, licensed in Georgia (214743) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699231019
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARSHALL LOGAN JR.Credential: NP-C
Location Address865 N HIGHLAND AVE NEAtlanta, GA 30306-4565
Mailing Address865 N Highland Ave NeAtlanta, GA 30306-4565 · (404) 733-6089
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 11, 2019
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1699231019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 214743
865 N HIGHLAND AVE NE, Atlanta, GA 30306

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

Mr. Marshall Logan Jr. Np-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 ID6507274438
PECOS Enrollment IDI20250717002526
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 Reassignment

Medicare enrollment records show Marshall Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
220 FRONT ST
New York, NY 10038
  • Reassigned Medicare billing, New York enrollment
  • 71 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 30306 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 20

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

Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Pharmacist
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Women's Health)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Nurse Practitioner (Family)
865 N HIGHLAND AVE NE
ATLANTA, GA 30306

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 Marshall Logan's NPI number?

The NPI number for Marshall Logan is 1699231019. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Marshall Logan located?

Marshall Logan practices at 865 N Highland Ave NE, Atlanta, GA 30306. The listed phone number is (404) 733-6089.

What is Marshall Logan's specialty?

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

Is Marshall Logan enrolled in Medicare?

Yes. Marshall Logan 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 organization bills Medicare for Marshall Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Logan reassigns Medicare benefits to Bobby Buka, M.D., P.C. (New York, NY). The 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 Marshall Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marshall Logan was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.