JOHN BUTLER MARTIN (NPI# 1780241570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780241570 |
| Entity Type | Individual |
| Full Name | JOHN BUTLER MARTIN |
| Credential | LMSW, MAC |
| Practice Address |
963 Bennock Mill Rd Augusta GA 30906-8705 |
| Mailing Address |
1208 Council Dr Augusta GA 30909-3420 |
| Practice Telephone | 9125313404 |
| Mailing Telephone | 9125313404 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MSW008450 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568945079 | John Robert Martin | Physical Therapist | 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363-8874 | 2018-09-11 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1740527514 | John F Martin | Pharmacist | 4100 N Wickham Rd Ste 109, Melbourne, FL 32935-2487 | 2013-01-13 |
| 1164665378 | John E. Martin | Psychologist | 320 W Colonial Dr, New Castle, IN 47362-5414 | 2009-04-17 |
| 1194961144 | John Gerard Martin | Psychiatry & Neurology | 4456 Nw 100th Ave, 203, Coral Springs, FL 33065-1550 | 2008-12-22 |
| 1033397997 | John W. Martin IIi | Dentist | 4347 Nebraska Ave Nw, Washington, DC 20016-2131 | 2008-02-03 |
| 1194927533 | John Craig Martin | Internal Medicine | 9375 Baldwin Rd, Kirtland Hills, OH 44060 | 2007-06-05 |
| 1467571828 | John D. Martin | Dentist | 332 Haddon Ave, Haddon Township, NJ 08108-2833 | 2007-03-28 |
| 1285758870 | John Richard Martin | Physical Therapist | 32 Arrowhead Trl, Ocean View, NJ 08230-1175 | 2007-03-19 |
| Street Address |
963 BENNOCK MILL RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144620170 | Bluff Plantation | Substance Abuse Rehabilitation Facility | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2014-08-27 |
| 1174150825 | Madalyn Riggins | Marriage & Family Therapist | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2020-03-24 |
| 1063879534 | David Vinson | Counselor | 963 Bennock Mill Rd, Augusta, GA 30906-8705 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| 1366078180 | Tony M Pushard | Counselor | 24 Stone St Ste 204, Augusta, ME 04330-5209 | 2020-03-13 |
| 1154956365 | Meghan E Hopper | Counselor | 24 Stone St Ste 203, Augusta, ME 04330-5209 | 2020-03-09 |
| 1932739117 | Nanci Dawn Porter | Counselor | 8 Summer St, Augusta, ME 04330-5129 | 2020-01-16 |
| 1932682200 | Douglas Paul Weaver Jr. | Counselor | 19 New England Rd, Augusta, ME 04330-0527 | 2018-09-12 |
| 1235626938 | Andrea Avery | Counselor | 24 Stone St Ste 101, Augusta, ME 04330-5209 | 2018-04-18 |
| 1962947374 | Kayla Turpin | Counselor | 218 S Spring St, Augusta, WI 54722-9385 | 2016-12-21 |
| 1831549211 | Melissa Ann Adams | Counselor | 9 Spruce St, Augusta, ME 04330-5213 | 2016-06-16 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| Find all providers in AUGUSTA | ||||
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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.