MARVIN LANGFORD (NPI# 1609843457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609843457 |
| Entity Type | Individual |
| Full Name | MARVIN LANGFORD |
| Credential | PA-C |
| Practice Address |
175 Samaritan Dr Jasper GA 30143-1964 |
| Mailing Address |
Po Box 2547 Blue Ridge GA 30513-0044 |
| Practice Telephone | 7062534673 |
| Mailing Telephone | 7062582091 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2019-02-19 |
| NPI Deactivation Date | 05/07/2018 |
| NPI Reactivation Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5494 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 SAMARITAN DR |
| City | JASPER |
| State | GA |
| Zip Code | 30143-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475734 | Julie Deloach Everett | Social Worker | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2020-04-16 |
| 1134770118 | Renea Justice | Nurse Practitioner | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2019-09-22 |
| 1932680451 | Patti Lynn Shelby | Registered Nurse | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2018-08-23 |
| 1366940876 | Haley Cook | Family Medicine | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2018-01-30 |
| 1407272420 | Bertil Loftman | Neurological Surgery | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2014-03-14 |
| 1306139167 | Shelly A Fields-ryan | Clinic/Center | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2011-05-25 |
| 1407174675 | Good Samaritan Health & Wellness Center | Clinic/Center | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2010-05-12 |
| 1245206499 | Howard Sohnen | Obstetrics & Gynecology | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760831655 | Erica Weddington | Physician Assistant | 150 Interstate South Dr Ste 100, Jasper, GA 30143-6252 | 2016-06-10 |
| 1811993041 | Janice L West | Physician Assistant | 1020 J L White Dr, Suite 160, Jasper, GA 30143-4908 | 2005-06-22 |
| 1194386573 | Melanie Martin | Physician Assistant | 1025 1st Ave W, Jasper, IN 47546-3217 | 2019-06-26 |
| 1851899322 | Taylor Anne Countiss | Physician Assistant | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2018-01-30 |
| 1598116790 | Erin Flanagan | Physician Assistant | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2016-06-29 |
| 1386885069 | Jason Fleury | Physician Assistant | 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | 2009-03-10 |
| 1972780609 | Lassiter Emergency Group LLC | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2008-01-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1073670469 | Kehinde Adekoyejo Akinfenwa | Physician Assistant | 1006 Dickerson Dr, Jasper, TX 75951-5111 | 2007-01-03 |
| 1972511574 | Milan S Valuch | Physician Assistant | 751 W 9th St, Jasper, IN 47546-2609 | 2006-08-03 |
| Find all providers in JASPER | ||||
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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.