Mark Byron MD PC
Mark Byron MD PC is a healthcare organization registered as Medical Specialty Clinic/Center in Jesup, GA, holding Type 2 (organization) NPI 1063607828 since 2007. The authorized official on file is Mark Byron, MD Owner.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1063607828 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark Byron MD PC |
| Other name | <Unavail> |
| Parent organization | Mark Byron MD PC |
| Practice address | 162 MEMORIAL DR, Jesup, GA, 31545 |
| Phone | 9124278033 |
| Enumeration date | 2007-09-13 |
| Last updated in NPPES | 2011-01-26 |
Authorized official
| Name | Mark Byron |
|---|---|
| Title | MD Owner |
| Phone | 9124278033 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | 047579 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP 4653 | Other | GA | MEDICARE GROUP NUMBER |
| 00833599B | Medicaid | GA | — |
Copy-ready billing details
Provider: Mark Byron MD PC NPI: 1063607828 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 162 MEMORIAL DR, Jesup, GA, 31545
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962431189 | Wayne County Board of Health | Organization | Public Health or Welfare Agency | Jesup, GA |
| 1235392408 | Winnie Claire Hicks | Organization | Family Medicine Physician | Jesup, GA |
Verify this record
Cross-check NPI 1063607828 against the authoritative CMS record: view Mark Byron MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mark Byron MD PC?
Who is the authorized official for Mark Byron MD PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-26.