MICHAEL C. MARTIN (NPI# 1023415528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023415528 |
| Entity Type | Individual |
| Full Name | MICHAEL C. MARTIN |
| Credential | PA-C |
| Practice Address |
145 Eagles Walk Suite A Stockbridge GA 30281-7340 |
| Practice Telephone | 7709140116 |
| Practice Fax Number | 7709147703 |
| Mailing Telephone | 7709140116 |
| Mailing Fax Number | 7709147703 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2016-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7437 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109166 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518927 | Michael Martin | Technician | 902 Woodlawn Ave, Beckley, WV 25801-6430 | 2020-11-06 |
| 1134779721 | Michael C Martin | Counselor | 28 Catherine Ave, Saddle Brook, NJ 07663-4806 | 2019-09-16 |
| 1043865025 | Michael Andrew Martin | Hearing Instrument Specialist | 1692 Stonegate Dr, Greenwood, IN 46142-5013 | 2019-08-06 |
| 1376037416 | Michael Timothy Martin | Social Worker | 1816 Front St, Durham, NC 27705-2582 | 2018-06-21 |
| 1073006714 | Michael Martin Jr. | Counselor | 125 E Park Ave, Haddon Twp, NJ 08107-1034 | 2018-06-07 |
| 1811442783 | Michael Martin | Physical Therapist | 888 White Plains Rd Fl 2, 209, Trumbull, CT 06611-4552 | 2016-08-22 |
| 1710378112 | Michael Martin | Psychologist | 26005 E 107th St S, Broken Arrow, OK 74014-3944 | 2015-02-07 |
| 1184064032 | Michael Martin II | Behavior Technician | 1915 Aerotech Dr Ste 190, Colorado Springs, CO 80916-4213 | 2013-06-25 |
| 1912268384 | Michael Jack Martin | Marriage & Family Therapist | 358 Sea Ridge Rd Apt 1, Aptos, CA 95003-4356 | 2012-06-01 |
| 1386920858 | Michael E Martin | Chiropractor | 13060 Marlette Dr, La Mirada, CA 90638-1933 | 2011-10-28 |
| Street Address |
145 EAGLES WALK SUITE A |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417020405 | Kizuwanda Blackburne | Physician Assistant | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2006-11-16 |
| 1154774883 | Eagles Landing Family Practice, LLC | Internal Medicine | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2016-07-18 |
| 1518317304 | Noor Alaina | Nurse Practitioner | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2016-06-13 |
| 1063806446 | Yusha Zakai | Internal Medicine | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2015-03-24 |
| 1851703052 | Eric Ngonji Njungwe | Nurse Practitioner | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2014-05-22 |
| 1649553504 | Shannon Larissa Cox | Physician Assistant | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2011-09-27 |
| 1205072477 | Sharon Williams | Nurse Practitioner | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2008-12-18 |
| 1063660223 | Rashante Bashineka Harris | Family Medicine | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2008-08-29 |
| 1972761732 | Hansel M Rayner | Physician Assistant | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033218581 | Charla V Johnson | Physician Assistant | 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281-7343 | 2006-09-21 |
| 1477540946 | Tonya Michelle Ogletree | Physician Assistant | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2005-09-30 |
| 1972068633 | Christopher Yegge | Physician Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-02-07 |
| 1598240269 | Kris Magpantay | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2018-09-28 |
| 1932649902 | Rebekah Worley | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2017-02-24 |
| 1063956431 | Jerrica Miles | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2016-12-05 |
| 1225420938 | Nguyen Ngoc Thi Vu | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2015-03-04 |
| 1225476492 | Monica Sohani | Physician Assistant | 210 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2013-06-11 |
| 1245579572 | David Didier | Physician Assistant | 290 Country Club Dr, 200, Stockbridge, GA 30281-9069 | 2013-02-06 |
| 1831453570 | Shannon Lynn Pearce | Physician Assistant | 830 Eagles Landing Pkwy, Stockbridge, GA 30281-7366 | 2012-06-27 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on MICHAEL C. MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.