DR. MARTHA D CLEMENTS (NPI# 1205836350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205836350 |
| Entity Type | Individual |
| Full Name | DR. MARTHA D CLEMENTS |
| Credential | MD |
| Practice Address |
211 E Broad St Pine Mountain GA 31822-7700 |
| Mailing Address |
Po Box 516 Pine Mountain GA 31822-0516 |
| Practice Telephone | 7068453494 |
| Practice Fax Number | 7068453575 |
| Mailing Telephone | 7066632574 |
| Mailing Fax Number | 7066635954 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11303 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00070463A | 05 | |
| GA | 00070463B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861710659 | Martha Mary Clements | Physical Therapist | 511 E 4th St, Shoshone, ID 83352-5380 | 2010-05-04 |
| 1407910326 | Martha Clements | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2006-12-22 |
| Street Address |
211 E BROAD ST |
| City | PINE MOUNTAIN |
| State | GA |
| Zip Code | 31822-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
| 1780915165 | Pine Mountain Family Dentistry, LLC | Dentist | 8944 Hamilton Road, Pine Mountain, GA 31822 | 2010-01-25 |
| 1194857813 | Timothy Turco | Psychologist | 107 Broad St., Pine Mountain, GA 31822 | 2007-03-09 |
| 1417944075 | Chattahoochee Valley Hospital Society | Home Health | Us Hwy 27 and 354, 5700 Chipley Village, Pine Mountain, GA 31822-0475 | 2005-09-29 |
| 1447280672 | Pine Mountain Pharmacy, Inc | Pharmacy | 145 N Main Ave, Pine Mountain, GA 31822-0500 | 2006-07-04 |
| 1255331351 | Mack H Clements | Family Medicine | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2005-07-29 |
| 1801083134 | Clements Professional Association Pine Mountain | General Practice | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2007-10-01 |
| 1700859840 | Grady Glenn Barnwell Jr. | Obstetrics & Gynecology | 217 W Harris St, Pine Mountain, GA 31822-1149 | 2006-02-09 |
| 1538382171 | Pine Mountain Eye Care | Optometrist | 414 S Main Ave, Pine Mountain, GA 31822-2355 | 2007-04-11 |
| 1427122951 | Jeffery A. Russell | Chiropractor | 624 N Main Ave, Pine Mountain, GA 31822-2403 | 2006-11-17 |
| Find all providers in zip 31822 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083134 | Clements Professional Association Pine Mountain | General Practice | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2007-10-01 |
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| Find all providers with the same taxonomy | ||||
| City | PINE MOUNTAIN |
| Zip Code | 31822 |
Please comment or provide details below to improve the information on DR. MARTHA D CLEMENTS.
| 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.