DR. MARTINA VENDRAME (NPI# 1063659225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063659225 |
| Entity Type | Individual |
| Full Name | DR. MARTINA VENDRAME |
| Credential | MD PHD |
| Practice Address |
1707 Meadows Ln Suite A Vidalia GA 30474-7200 |
| Mailing Address |
One Medical Ctr Blvd Acp 533 Han Neurological Upland PA 19013-3902 |
| Practice Telephone | 9125380003 |
| Practice Fax Number | 9125387444 |
| Mailing Telephone | 6108741184 |
| Mailing Fax Number | 6108744258 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 36129378 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD458011 | PA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
070921 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
36129378 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003139553A | 05 |
| Street Address |
1707 MEADOWS LN SUITE A |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378750 | Matthew Demore IIi | Podiatrist | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2005-07-05 |
| 1932333291 | Amber Nobles Joyner | Nurse Practitioner | 1707 Meadows Ln, Suite C, Vidalia, GA 30474-7200 | 2009-05-14 |
| 1134367550 | Vidalia Orthopedic Center, LLC | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2009-01-22 |
| 1417115817 | Vidalia Regional Cancer Center | Internal Medicine | 1707 Meadows Ln, Suite C, Vidalia, GA 30474-7200 | 2008-06-02 |
| 1760664270 | South Georgia Pulmonary, Critical Care and Sleep Medicine | Internal Medicine | 1707 Meadows Ln, Suite E, Vidalia, GA 30474-7200 | 2007-11-27 |
| 1205058948 | Bartlett Emory Davis | Specialist/Technologist | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2007-05-03 |
| 1093887820 | Robert Eugene Johnson | Otolaryngology | 1707 Meadows Ln, Suite C, Vidalia, GA 30474-7200 | 2006-11-15 |
| 1184670036 | Ronald W Williams Jr. | Otolaryngology | 1707 Meadows Ln, Suite C, Vidalia, GA 30474-7200 | 2006-05-25 |
| 1114915618 | James W. Fordyce | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952515371 | Steven P Hill, Md,pc | Psychiatry & Neurology | 704 Maple Dr, Suite 1, Vidalia, GA 30474-7207 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544899 | Southern Neurology, Physical Medicine & Rehabilitation, LLC | Psychiatry & Neurology | 4913 Lanes Pond Rd, Valdosta, GA 31601-1537 | 2020-03-24 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1811342561 | The Migraine and Spine Clinic of Valdosta LLC | Psychiatry & Neurology | 3315 N Valdosta Rd, Suite A, Valdosta, GA 31602-1107 | 2016-05-02 |
| 1164882635 | Lafayette Neurology, PC | Psychiatry & Neurology | 1075 Lafayette Parkway, Suite 210, Lagrange, GA 30241-3584 | 2016-02-26 |
| 1144601048 | Catherine Lockhart | Psychiatry & Neurology | 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 | 2015-06-16 |
| 1609266634 | Bruce Gillett | Psychiatry & Neurology | 948 Greymont Cir Nw, Marietta, GA 30064-1328 | 2015-01-29 |
| 1245620244 | Darla R Totten Md | Psychiatry & Neurology | 3780 Northside Dr, 197, Macon, GA 31210-2431 | 2015-01-28 |
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| Find all providers with the same taxonomy | ||||
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| 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.