MR. JERRY K MARTIN JR. (NPI# 1831184332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831184332 |
| Entity Type | Individual |
| Full Name | MR. JERRY K MARTIN JR. |
| Credential | M.D. |
| Practice Address |
900 Earl Frye Blvd Ste A Amory MS 38821-5507 |
| Practice Telephone | 6622569331 |
| Practice Fax Number | 6622569349 |
| Mailing Telephone | 6622569331 |
| Mailing Fax Number | 6622569349 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 16529 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00125758 | 05 | |
| MS | DEA | BM7675979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1821415571 | Jerry Nell Martin | Registered Nurse | 531 David W Ray Dr, Georgetown, SC 29440-6693 | 2014-03-19 |
| 1437240157 | Jerry H. Martin | Dentist | 4150 Douglas Blvd, # A, Granite Bay, CA 95746-5964 | 2006-09-27 |
| 1235239344 | Jerry D Martin | Dentist | 418 W. Monroe Ave., Chester, MT 59522-0516 | 2006-09-25 |
| 1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
| 1336112549 | Jerry L. Martin | Physician Assistant | 150 Page Rd, Robins Afb, GA 31098-1600 | 2006-02-08 |
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1083064562 | Jerry Martin | Counselor | 4411 N Cedar Ave Ste 108, Fresno, CA 93726-2538 | 2016-06-15 |
| 1013172733 | Jerry Vann Martin | Emergency Medicine | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 | 2008-07-22 |
| 1588853709 | Jerry Martin Jr. | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-24 |
| Street Address |
900 EARL FRYE BLVD STE A |
| City | AMORY |
| State | MS |
| Zip Code | 38821-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872514 | P&s Primary Care, Pllc | Internal Medicine | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2019-10-08 |
| 1942694260 | Felicia Daniel | Nurse Practitioner | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2015-03-25 |
| 1467864207 | Donald Carlisle Livingston | Internal Medicine | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2014-05-28 |
| 1235497645 | Laura L Marion | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2012-04-24 |
| 1740331107 | John David Seay | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2007-01-14 |
| 1255351995 | Vanessa Lynne Miller | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
| 1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
| 1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
| 1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
| 1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
| 1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
| 1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
| 1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
| Find all providers in zip 38821 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871816231 | Richard Shelton Hollis | Obstetrics & Gynecology | 60431 Cotton Gin Port Rd, Amory, MS 38821-0037 | 2010-03-12 |
| 1235497645 | Laura L Marion | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2012-04-24 |
| 1720262579 | Meredith Kirk Griffin | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-12-27 |
| 1740333459 | Leonard F. Pinkley Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-01-18 |
| 1285785931 | Duke J Wood | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-01-16 |
| 1013068469 | Pamela Lacy | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-01-14 |
| 1588715940 | James P Chaney | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-01-14 |
| 1104977560 | Stephen K Otey | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2007-01-14 |
| 1477620458 | Douglas Michael Turner Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2006-11-29 |
| 1255351995 | Vanessa Lynne Miller | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821 | 2006-07-19 |
| Find all providers in AMORY | ||||
Please comment or provide details below to improve the information on MR. JERRY K MARTIN JR..
| 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.