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

Q: 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.

Q: What is Marshall Logan's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(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

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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 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.

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.

MRS. SARA RUTH BENNETT FNP-BC

Nurse Practitioner (Family)