JOHN EDWARD MARTIN SR. (NPI# 1316016819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316016819 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD MARTIN SR. |
| Credential | MD |
| Practice Address |
1497 Fair Rd Suite 103 Statesboro GA 30458-0822 |
| Mailing Address |
Po Box 922088 Norcross GA 30010-2088 |
| Practice Telephone | 9124861163 |
| Practice Fax Number | 8667954593 |
| Mailing Telephone | 8667954593 |
| Mailing Fax Number | 8667954593 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25229 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | P00387675 | 01 |
| GA | 000346376B | 05 | |
| GA | NPI | 1073707436 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568945079 | John Robert Martin | Physical Therapist | 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363-8874 | 2018-09-11 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1740527514 | John F Martin | Pharmacist | 4100 N Wickham Rd Ste 109, Melbourne, FL 32935-2487 | 2013-01-13 |
| 1164665378 | John E. Martin | Psychologist | 320 W Colonial Dr, New Castle, IN 47362-5414 | 2009-04-17 |
| 1194961144 | John Gerard Martin | Psychiatry & Neurology | 4456 Nw 100th Ave, 203, Coral Springs, FL 33065-1550 | 2008-12-22 |
| 1033397997 | John W. Martin IIi | Dentist | 4347 Nebraska Ave Nw, Washington, DC 20016-2131 | 2008-02-03 |
| 1194927533 | John Craig Martin | Internal Medicine | 9375 Baldwin Rd, Kirtland Hills, OH 44060 | 2007-06-05 |
| 1467571828 | John D. Martin | Dentist | 332 Haddon Ave, Haddon Township, NJ 08108-2833 | 2007-03-28 |
| 1285758870 | John Richard Martin | Physical Therapist | 32 Arrowhead Trl, Ocean View, NJ 08230-1175 | 2007-03-19 |
| Street Address |
1497 FAIR RD SUITE 103 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380768 | Karen Renea Hilde | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2006-01-10 |
| 1508393208 | Neurology and Neurodiagnostic LLC | Psychiatry & Neurology | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2017-05-12 |
| 1720341514 | Bulloch Pediatrics Group, LLC | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2012-06-18 |
| 1114291051 | Clare D Heidler Iv | Registered Nurse | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0822 | 2012-02-23 |
| 1942591482 | Kathryn Winn Marucco | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2011-05-02 |
| 1487983151 | East Georgia Hma Physician Management, LLC | Surgery | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-12-09 |
| 1023247723 | Ian C Munger | Emergency Medicine | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-07-02 |
| 1760627699 | Stattesboro Orthopaedic Center, Inc | Orthopaedic Surgery | 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 | 2008-12-05 |
| 1679775712 | Bulloch Pediatrics, PC | Pediatrics | 1497 Fair Rd, Ste 200, Statesboro, GA 30458-0822 | 2007-06-01 |
| 1043352958 | Cesar Clinic, LLC | Specialist | 1497 Fair Rd, Suite 201, Statesboro, GA 30458-0822 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707436 | Shiloh Wound Care PC | Surgery | 1497 Fair Rd Ste 103, Statesboro, GA 30458-0823 | 2007-08-29 |
| 1699719179 | Kenneth Brian Walton | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2006-06-15 |
| 1801866322 | Raul Nelson Lugo | Surgery | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-01-25 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1477860906 | Jenkins County Hospital | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-09-03 |
| 1487983151 | East Georgia Hma Physician Management, LLC | Surgery | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-12-09 |
| 1548420599 | Rebecca Marie Spahos | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2008-06-12 |
| 1548448418 | Jean-claude David Schwartz | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.