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

Mark M Spatz, PA-C

Individual provider Physician Assistant · NPI 1083803068

Mark M Spatz, PA-C is a Physician Assistant in Columbus, Georgia. Qualified in 2007, 19 years ago. Practices with Lane Dermatology and Dermatologic Surgery LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1210 Brookstone Centre Pkwy
Columbus, GA 31904-2954
Phone: (706) 322-1717
Fax: (706) 322-1718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5199 (GA)

Record details

NPI number1083803068
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2007
Last updated in NPPESMarch 7, 2011
Mailing address1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lane Dermatology And Dermatologic Surgery Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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