ROBERT AMBROSE MARTIN


Address: 380 S Davis Rd, Suite E&f, Lagrange, GA 30241-2588
Phone: 7068828831

ROBERT AMBROSE MARTIN (NPI# 1073834404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073834404
Entity Type Individual
Full Name ROBERT AMBROSE MARTIN
Credential MD
Practice Address 380 S Davis Rd
Suite E&f
Lagrange
GA 30241-2588
Mailing Address 303 Smith St
Lagrange
GA 30240-2745
Practice Telephone 7068828831
Practice Fax Number 7062984989
Mailing Telephone 7068828831
Mailing Fax Number 7062984989
Enumeration Date 2010-06-21
Last Update Date 2014-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 32892 SC Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
071595 GA Allopathic & Osteopathic Physicians

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1932438595 Robert Carl Martin Chiropractor 78-6894 Keaupuni St, Kailua Kona, HI 96740-2847 2009-12-10
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1396961728 Robert Stephen Martin Dentist 2225 Defense Hwy., Suite G, Crofton, MD 21114 2007-04-17
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Office Location

Street Address 380 S DAVIS RD
SUITE E&F
City LAGRANGE
State GA
Zip Code 30241-2588

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629594999 Laboratory Corporation of Americ Holdings Clinical Medical Laboratory 380 S Davis Rd, Lagrange, GA 30241-2588 2017-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073994182 Pathways Center for Behavioral and Developmental Growth Community/Behavioral Health 102 Corporate Park Drive East, Lagrange, GA 30241 2015-06-15
1235303686 Atlas Neck & Back Center Chiropractor 309 N. Morgan St., Suite A, Lagrange, GA 30241 2008-04-16
1578756565 Richard Freeman Simmons Dentist 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 2007-08-22
1013071851 Troup County School District Local Education Agency (LEA) 100 North Davis Road, Lagrange, GA 30241 2006-12-19
1851748172 Medventures Physical Therapy, LLC Physical Therapist 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 2016-05-17
1154784205 Med Ventures Mri, LLC Radiology 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 2016-04-05
1437514965 Holly Renee Abbott Counselor 104 Harwell Ave, Lagrange, GA 30241 2015-12-29
1386780104 Andre D Feria Md Internal Medicine 142 Old Mill Road, Lagrange, GA 30241 2007-01-29
1356354500 Mohd Khairul Anam Internal Medicine 142 Old Mill Road, Lagrange, GA 30241 2006-08-15
1417914052 Troup County Health Department Public Health or Welfare 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 2006-04-27
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639580376 Jason D Frampton Family Medicine 207 N Townline Rd Ste 201, Lagrange, IN 46761 2014-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306108279 Casey Wagner Family Medicine 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 2012-06-15
1831422682 Koji Nishimura Family Medicine Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 2009-09-11
1073787305 Mark James Sakr Family Medicine 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 2008-04-17
1104009059 Northeast Georgia Physicians Group, Inc. Family Medicine 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 2007-12-14
1366549073 Michael Joseph Huey Family Medicine Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 2006-09-17
1942234281 Charles Edward Garten II Family Medicine 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 2006-07-11
1477597979 John M. Henderson Sr. Family Medicine 1900 10th Ave Suite 320, Columbus, GA 31901 2006-06-15
1609843481 Tracy R Ray Family Medicine 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 2006-03-01
1982679684 John Michael Buchanan Family Medicine 3575 Braselton Hwy, Dacula, GA 30019-1155 2006-02-17
1770562852 Neeru Jayanthi Family Medicine 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 2006-01-17
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City LAGRANGE
Zip Code 30241

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Dataset Information

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.

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