MARC J KORNFIELD MD PC – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1508904715

MARC J KORNFIELD MD PC is a healthcare provider. based in Marietta, Georgia. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. The NPI Number for MARC J KORNFIELD MD PC is 1508904715

Main info

Organization
Name
MARC J KORNFIELD MD PC
NPI
1508904715
Phone
(770) 425-1170
Address
1335 CANTON RD STE C
Authorized Official
MR. WALTER E DENIS PRACTICE ADMINISTRATOR
Enumeration Date
1 February 2007
Last Update Date
20 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MARC J KORNFIELD MD PC

  • Canton Road Northeast, Powell Station, Marietta, Cobb County, Georgia, 30066, United States

    MARIETTA, GA 300666053

    Phone: (770) 425-1170

    Fax: (770) 425-1137

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
O20151214002420OClinic/Group PracticeGA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

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

Insurance plans in this area (ZIP 30066)

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Reviews

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Frequently asked questions

What number should I use to identify MARC J KORNFIELD MD PC for billing?
Administrative and clinical systems typically use NPI 1508904715 for MARC J KORNFIELD MD PC.
Is MARC J KORNFIELD MD PC's NPI status active today?
Active status means MARC J KORNFIELD MD PC's NPI record is not deactivated in the public file.
What type of care does MARC J KORNFIELD MD PC provide?
MARC J KORNFIELD MD PC's profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARC J KORNFIELD MD PC?
MARC J KORNFIELD MD PC is associated with Marietta, Georgia in the same public data insurers reference.
Who maintains MARC J KORNFIELD MD PC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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MR. MARC JOEL KORNFIELD (M.D.)

Pain Medicine (Physical Medicine & Rehabilitation) Physician
1335 CANTON RD STE C
NPI: 1053432401