Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Anthony Wendolowski, MD

Individual provider Family Medicine Physician · NPI 1396206371

Dr. Mark Anthony Wendolowski, MD is a Family Practice in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with Athens-Limestone ER Physicians, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

294 Summar Dr
Jackson, TN 38301-3915
Phone: (731) 423-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 625 19th St S, Birmingham, AL 35233-1900 — (256) 539-0505
  • 25 Vocational Dr Sw, Rome, GA 30161-6795 — (678) 790-4262

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41411 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396206371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address202 Count Fleet Ct, Madison, AL 35756-4296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athens-Limestone Er Physicians — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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