EDWARD K JR. MARK (M.D.) – Neurological Surgery Physician, NPI 1619089125

EDWARD K JR. MARK (M.D.) is a healthcare provider. based in Valdosta, Georgia. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 029908 (GA). The NPI Number for EDWARD K JR. MARK (M.D.) is 1619089125

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD K JR. MARK (M.D.)
NPI
1619089125
Phone
(229) 242-1234
Address
4274 N VALDOSTA RD
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9122421234
Graduation Year
1982 (44 years ago)
PAC ID
6709936057
Group Practice PAC ID
5496742819
Professional Enrollment ID
I20150909001939
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for EDWARD K JR. MARK (M.D.)

  • North Valdosta Road, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316026814

    Phone: (229) 242-1234

    Fax: (229) 247-8110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496742819View full group profile
NameSpecialtyState
MR. JON R TEEGARDIN (NP-C)
-GA

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Frequently asked questions

What number should I use to identify EDWARD K JR. MARK (M.D.) for billing?
Administrative and clinical systems typically use NPI 1619089125 for EDWARD K JR. MARK (M.D.).
Is EDWARD K JR. MARK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists EDWARD K JR. MARK (M.D.) as active.
What does the directory say EDWARD K JR. MARK (M.D.) does?
Insurance directories may phrase it differently, but here EDWARD K JR. MARK (M.D.) maps to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is EDWARD K JR. MARK (M.D.) tied to Valdosta, Georgia?
If you are local to Valdosta, Georgia, EDWARD K JR. MARK (M.D.) may be relevant to your search.
Who maintains EDWARD K JR. MARK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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