LEONARD TERRY MARTIN JR. (NPI# 1679510457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679510457 |
| Entity Type | Individual |
| Full Name | LEONARD TERRY MARTIN JR. |
| Credential | PA |
| Practice Address |
2000 Palmyra Rd Albany GA 31701-1528 |
| Mailing Address |
3809 Creswell Ave Shreveport LA 71106-1258 |
| Practice Telephone | 2294342161 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002248 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | P00612648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265761498 | Leonard J Martin | Dentist | 150 E Division Rd, Suite 8, Oak Ridge, TN 37830-6938 | 2009-12-17 |
| Street Address |
2000 PALMYRA RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140084 | Palmyra Professional Fees LLC | Nurse Anesthetist, Certified Registered | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2005-11-02 |
| 1083220230 | Julia Erdmier | Pharmacist | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2020-09-22 |
| 1114268547 | Albany Anesthesiologists, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2013-03-11 |
| 1558635003 | Palmyra Emergency Group LLC | Physician Assistant | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2012-03-01 |
| 1992009385 | Hospital Authority of Albany-dougherty County Georgia | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-29 |
| 1043514557 | Hospital Authority of Albany-dougherty County Georgia | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-28 |
| 1023345410 | Beverly Ann Willis | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-11-06 |
| 1932435294 | Daniel B. Wright | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-21 |
| 1114252459 | Worth Lake Emergency Physicians | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
| 1659606994 | Georgia Em-i Medical Services PC | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
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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.