MARK DOUGLAS EDGE (MD) – Gastroenterology Physician, NPI 1750372777

MARK DOUGLAS EDGE (MD) is a healthcare provider. based in Stockbridge, Georgia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 48041 (GA). The NPI Number for MARK DOUGLAS EDGE (MD) is 1750372777

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MARK DOUGLAS EDGE (MD)
NPI
1750372777
Phone
(770) 507-0909
Address
7402 Davidson Pkwy S
Enumeration Date
31 October 2005
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6789040094
Graduation Year
1998 (28 years ago)
PAC ID
0446235196
Group Practice PAC ID
7719273838
Professional Enrollment ID
I20040618000783
Address ID
GA302742635RI34XXXSEXX506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

524 GASTROENTEROLOGY in GA

Provider Addresses for MARK DOUGLAS EDGE (MD)

  • 7402 Davidson Pkwy S

    Stockbridge, GA 302814175

    Phone: (770) 507-0909

    Fax: (770) 507-1919

    Type: Location

  • Peachtree Street Northeast, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303093276

    Phone: (678) 223-7774

    Fax: (678) 223-7799

    Type: Mailing

  • 150, North Park Trail, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 30281

    Phone: (770) 507-0909

    Fax: (770) 507-1919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 174 Open Payments records for all available years, with a total value of $3,461.

Total Amount is formed as General ($3,461) + Research ($0) + Ownership ($0) = $3,461.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($694).

Total Amount

$3,461

General + Research + Ownership

Payments

174

Total payment records

General Amount

$3,461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040618000783IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes155124$0
99213Established patient office or other outpatient visit, 20-29 minutes126104$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8787$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6565$0
99204New patient office or other outpatient visit, 45-59 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Provider's Procedures

MARK DOUGLAS EDGE (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYGA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2929

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: 7719273838View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Gastroenterology, Internal MedicineGA

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Frequently asked questions

What is the registry number for MARK DOUGLAS EDGE (MD)?
The registry entry for MARK DOUGLAS EDGE (MD) shows NPI 1750372777.
Is MARK DOUGLAS EDGE (MD)'s NPI status active today?
Active status means MARK DOUGLAS EDGE (MD)'s NPI record is not deactivated in the public file.
What does the directory say MARK DOUGLAS EDGE (MD) does?
Insurance directories may phrase it differently, but here MARK DOUGLAS EDGE (MD) maps to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARK DOUGLAS EDGE (MD)?
The directory associates MARK DOUGLAS EDGE (MD) with Stockbridge, Georgia. Check all listed addresses for suites or satellite offices.
Can I export MARK DOUGLAS EDGE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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