Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275649758 Individual Practitioner Male Practitioner

Dr. Mark Custodio Oliver , MD

Pediatrics • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Oliver, MD is a registered healthcare professional specializing in Pediatrics in Columbus, GA. Practice services are available at 2416 CAPSTONE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2416 Capstone Ct

Columbus, GA 319092795

Telephone 7063271281
Associated Practice Facility / Clinic
🏢 Rivertown Pediatrics, P.c. Facility NPI 1346336203

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Columbus, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 048557

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00867765A (GA)
Commercial Insurance / Payer ID License Number
048557 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1043306194

Doctor of Medicine (M.D.)

NPI 1073756169

Doctor of Medicine (M.D.)

Kelly Peledge , NP

Nurse Practitioner

NPI 1134608094

Nurse Practitioner

NPI 1174937924

Doctor of Medicine (M.D.)

Ashley Robinson , FNP

Nurse Practitioner

NPI 1184176331

Family Nurse Practitioner

Lauren Hamsley , PA

Physician Assistant

NPI 1205163243

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 20, 2020

Registered at 2416 CAPSTONE CT, COLUMBUS, GA 319092795 (Tel: 7063271281)

NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2011

Registered at 2416 CAPSTONE CT, COLUMBUS, GA 319092795 (Tel: 7063271281)

📍
Updated Business Mailing Address September 27, 2011

Registered at 1108 COUNTRY PL, FORTSON, GA 318086856 (Tel: 7063271281)

👤
Provider Name / Credentials Updated September 27, 2011

Recorded as MARK OLIVER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Pediatrics (License #048557 in GA)

🟢
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275649758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: March 20, 2020
Sole Proprietor: No

Mailing Address

2416 Capstone Ct

Columbus, GA 319092795

Phone: 7063271281

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.