MR. JERRY L. MARTIN (NPI# 1336112549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336112549 |
| Entity Type | Individual |
| Full Name | MR. JERRY L. MARTIN |
| Other Name | JERRY L. MARTIN |
| Credential | BS PA |
| Practice Address |
150 Page Rd Robins Afb GA 31098-1600 |
| Mailing Address |
565 Cativo Dr Sw Atlanta GA 30311-2107 |
| Practice Telephone | 4783270290 |
| Mailing Telephone | 4047345357 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2056 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1821415571 | Jerry Nell Martin | Registered Nurse | 531 David W Ray Dr, Georgetown, SC 29440-6693 | 2014-03-19 |
| 1437240157 | Jerry H. Martin | Dentist | 4150 Douglas Blvd, # A, Granite Bay, CA 95746-5964 | 2006-09-27 |
| 1235239344 | Jerry D Martin | Dentist | 418 W. Monroe Ave., Chester, MT 59522-0516 | 2006-09-25 |
| 1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1831184332 | Jerry K Martin Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2005-09-12 |
| 1083064562 | Jerry Martin | Counselor | 4411 N Cedar Ave Ste 108, Fresno, CA 93726-2538 | 2016-06-15 |
| 1013172733 | Jerry Vann Martin | Emergency Medicine | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 | 2008-07-22 |
| 1588853709 | Jerry Martin Jr. | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-24 |
| Street Address |
150 PAGE RD |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| Find all providers in zip 31098 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184001489 | Michelle Bos | Physician Assistant | 655 7th St Bldg 700700a, Robins Afb, GA 31098-2227 | 2015-05-06 |
| 1275922791 | Megan Steele | Physician Assistant | 655 7th St Bldg 700a, 78 Mdg/sgof, Robins Afb, GA 31098-2227 | 2015-01-21 |
| 1356587588 | Jay Miller | Physician Assistant | 655 7th St Bldg 700700-a, 78 Mdg/sghc, Robins Afb, GA 31098-2227 | 2008-12-17 |
| 1255427308 | Regina Nju Awung | Physician Assistant | 655 7th St Bldg 700700-a, Robins Afb, GA 31098-2227 | 2006-10-05 |
| 1053321513 | Roberto Springer | Physician Assistant | 655 7th St Bldg 700700-a, 78 Mdg/xxx, Robins Afb, GA 31098-2227 | 2006-08-08 |
| 1578545281 | John Gravgaard | Physician Assistant | 655 7th St, 78 Mdg/sgomf, Robins Afb, GA 31098-2227 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | ROBINS AFB |
| Zip Code | 31098 |
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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.