MARTY DAVID AVERA (NPI# 1386207793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386207793 |
| Entity Type | Individual |
| Full Name | MARTY DAVID AVERA |
| Practice Address |
275 Sheraton Blvd Ste 200 Macon GA 31210-1359 |
| Mailing Address |
90 Head Rd Juliette GA 31046-3445 |
| Practice Telephone | 4782587226 |
| Mailing Telephone | 4782587226 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
275 SHERATON BLVD STE 200 |
| City | MACON |
| State | GA |
| Zip Code | 31210-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527654 | Sleepwell LLC | Durable Medical Equipment & Medical Supplies | 275 Sheraton Blvd Ste 200, Macon, GA 31210-1359 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339954 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 4794 Mercer University Dr Ste A, Macon, GA 31210-6220 | 2020-06-05 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1942768536 | R-en Inc | Durable Medical Equipment & Medical Supplies | 1140 S Jackson Springs Rd, Macon, GA 31211-1439 | 2019-03-04 |
| 1154894111 | Joshua Joseph Sale | Durable Medical Equipment & Medical Supplies | 555 Poplar St Ste 25, Macon, GA 31201-2741 | 2019-01-02 |
| 1679843825 | Central Georgia Health Ventures, Inc | Durable Medical Equipment & Medical Supplies | 800 1st St Ste 100, Macon, GA 31201-8395 | 2012-01-05 |
| 1023395738 | Shelter Dean | Durable Medical Equipment & Medical Supplies | 3130 Mercer University Dr, Macon, GA 31204-5109 | 2011-11-08 |
| 1164704391 | Sleepmed of Central Georgia | Durable Medical Equipment & Medical Supplies | 606 Cherry St, Suite 440, Macon, GA 31201-2624 | 2011-09-14 |
| 1790063428 | Miller Rexall Drug, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vine Street, Macon, MO 63552-1654 | 2011-07-29 |
| 1073819660 | Atlanta Prosthetics & Orthotics of Macon, LLC | Durable Medical Equipment & Medical Supplies | 869 Walnut Street, Macon, GA 31201 | 2011-01-31 |
| 1437460136 | Diabetic Care Management | Durable Medical Equipment & Medical Supplies | 219 River Hills Rdg, Macon, GA 31211-6339 | 2010-06-28 |
| Find all providers in MACON | ||||
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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.