Madeline Marks, PA
Physician Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1104777044
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1104777044
- Entity type
- Individual (NPI-1)
- Name
- Madeline Marks
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2026
- Certification date
- Feb 6, 2026
- Last updated
- Feb 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13790 | GA | Yes |
Practice location
5102 Paulsen St Bldg 4Savannah, GA 31405-4614
Phone 912-356-3604
Mailing address
5102 Paulsen St Bldg 4Savannah, GA 31405-4614
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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