JACQUELINE MARINA MARTIN (NPI# 1316367006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316367006 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARINA MARTIN |
| Credential | M.D. |
| Practice Address |
3121 Panthersville Rd Decatur GA 30034-3830 |
| Practice Telephone | 4042708192 |
| Practice Fax Number | 4042708183 |
| Mailing Telephone | 4042708192 |
| Mailing Fax Number | 4042708183 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
50656 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1912202045 | Jacqueline Marie Martin | Counselor | 194 Harvard St, Apt. 5, Rochester, NY 14607-3170 | 2011-01-21 |
| 1457587636 | Jacqueline Suzanne Martin | Massage Therapist | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2009-06-02 |
| 1760620777 | Jacqueline Michelle Martin | Massage Therapist | 322 Moreno St, Las Vegas, NM 87701-3702 | 2009-01-29 |
| 1073667226 | Jacqueline Wilson Martin | Lodging | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-01-23 |
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1316569932 | Jacqueline Martin | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-05-18 |
| 1194282723 | Jacqueline Rose Martin | Counselor | 2755 E Desert Inn Rd Ste 250, Las Vegas, NV 89121-3610 | 2019-03-01 |
| 1841761343 | Jacqueline Sue Martin | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-12-09 |
| 1427544063 | Jacqueline Lillian Martin | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2018-07-06 |
| Street Address |
3121 PANTHERSVILLE RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265457501 | Stacey Nicole Desamours | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2006-07-13 |
| 1386930832 | Lora Darrisaw | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2011-06-23 |
| 1811141831 | Jonathan Eisenstat | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2008-11-05 |
| 1194908913 | Kris Lee Sperry | Pathology | 3121 Panthersville Rd, Medical Examiner's Office, Decatur, GA 30034-3830 | 2007-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265457501 | Stacey Nicole Desamours | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2006-07-13 |
| 1811141831 | Jonathan Eisenstat | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2008-11-05 |
| 1194908913 | Kris Lee Sperry | Pathology | 3121 Panthersville Rd, Medical Examiner's Office, Decatur, GA 30034-3830 | 2007-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880375 | Christopher Gulledge | Pathology | 150 N Marietta Pkwy Ne, Marietta, GA 30060-1454 | 2017-09-26 |
| 1336665322 | Edmund Roche Donoghue Jr. | Pathology | 925 Mohawk St, Savannah, GA 31419-1797 | 2017-08-21 |
| 1821416660 | Gerald Thomas Gowitt | Pathology | 2284 Weeping Oak Dr, Braselton, GA 30517-6047 | 2014-03-30 |
| 1730507559 | Keith Lehman | Pathology | 235 Rock Hill Dr, Fayetteville, GA 30215-4955 | 2014-03-29 |
| 1124221213 | Joni Byrd Skipper | Pathology | 111 Isaac G Laroche Dr, Pooler, GA 31322-2171 | 2007-06-07 |
| 1700955184 | Kelly L. Rose | Pathology | 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 | 2006-11-07 |
| 1639129059 | Geoffrey P. Smith | Pathology | 430 Pryor St., Fulton County Medical Examiners Office, Atlanta, GA 30322-0001 | 2006-05-10 |
| 1447200852 | Michael M. Heninger | Pathology | 530 Pryor St Sw, Fulton County Medical Examiners Office, Atlanta, GA 30312-2718 | 2006-05-10 |
| 1730139197 | Michele T. Stauffenberg | Pathology | Fulton County Medical Examiners Office, 430 Pryor St., Atlanta, GA 30312 | 2006-05-10 |
| 1578511655 | Randy L. Hanzlick | Pathology | 430 Pryor St Sw, Fulton County Medical Examiners Office, Atlanta, GA 30312-2716 | 2006-05-04 |
| 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.