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

Mark Fouts

Individual provider Anesthesiologist Assistant · NPI 1992257943

Mark Fouts is an Anesthesiology Assistant in Kennesaw, Georgia. Qualified in 2016, 10 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016

Practice location Address checks out

1621 N Roberts Rd NW Ste 110
Kennesaw, GA 30144-3640
Phone: (770) 702-1806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 008183 (GA)

Record details

NPI number1992257943
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESOctober 25, 2016
Mailing address1621 N Roberts Rd Nw Ste 110, Kennesaw, GA 30144-3640

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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