Dr Charles Gregory Mardis, MD - Medicare Internal Medicine in Atlanta, GA

Dr Charles Gregory Mardis, MD is a medicare enrolled "Internal Medicine" physician in Atlanta, Georgia. His current practice location is 1438 W Peachtree St Nw, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 283-7349.

Dr Charles Gregory Mardis is licensed to practice in Georgia (license number 110089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487752911.

Contact Information

Dr Charles Gregory Mardis, MD
1438 W Peachtree St Nw,
Atlanta, GA 30309-2955
(470) 283-7349
(833) 689-2507

Map and Direction




Physician's Profile

Full NameDr Charles Gregory Mardis
GenderMale
SpecialityInternal Medicine
Location1438 W Peachtree St Nw, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487752911
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 11/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406749605
  • Enrollment ID: I20040203000377

Medical Identifiers

Medical identifiers for Dr Charles Gregory Mardis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487752911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 110089 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles Gregory Mardis allows following entities to bill medicare on his behalf.
Entity NameAids Action Coalition Of Huntsville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770635633
PECOS PAC ID: 9032167069
Enrollment ID: O20050106000612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Gregory Mardis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Gregory Mardis, MD
6255 W Sunset Blvd Fl 21,
Los Angeles, CA 90028-7422

Ph: (323) 860-5200
Dr Charles Gregory Mardis, MD
1438 W Peachtree St Nw,
Atlanta, GA 30309-2955

Ph: (470) 283-7349

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.