TM MARTIN INC (NPI# 1447376660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447376660 |
| Entity Type | Organization |
| Organization Name | TM MARTIN INC |
| Practice Address |
238 Wesley Cir Macon GA 31204-2458 |
| Practice Telephone | 4789727755 |
| Practice Fax Number | 4787435544 |
| Mailing Telephone | 4789727755 |
| Mailing Fax Number | 4787435544 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERENCE MALLOY MARTIN (OWNER) |
| Authorized Official Telephone | 4787434321 |
| Authorized Official Credential | PC-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
000239 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
238 WESLEY CIR |
| City | MACON |
| State | GA |
| Zip Code | 31204-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609052075 | Erica Diouf | Physician Assistant | 2844 Barrett Ave, Macon, GA 31206-4834 | 2008-01-16 |
| 1376923425 | Eryn Dunwody | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2015-06-04 |
| 1801213467 | Jeffrey Brown | Physician Assistant | 575 1st St, Macon, GA 31201-2825 | 2014-03-20 |
| 1861760027 | Vein Specialists of The South | Physician Assistant | 556 3rd St, Macon, GA 31201-7934 | 2011-12-02 |
| 1831388149 | Paul D Folendore IIi | Physician Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2007-10-23 |
| 1578647277 | Tracy Denise Davis | Physician Assistant | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-10-25 |
| 1235176819 | Jessica Lyn Menard | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-06-01 |
| 1740236314 | Nandan Ramesh Hichkad | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-05-25 |
| 1205816964 | Paul Jeffrey White | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-01-19 |
| 1942289186 | Tammy Michelle Harmsen | Physician Assistant | 688 Walnut St, Ste 200, Macon, GA 31201-2677 | 2006-01-16 |
| 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.