Paul C Martin (NPI# 1558304709, PAC ID# 2769485515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1558304709 |
| PAC ID by PECOS | 2769485515 |
| Professional Enrollment ID | I20060816000277 |
| Full Name | Paul C Martin |
| Organization Legal Name | GAINESVILLE RADIOLOGY GROUP, PC |
| Address |
1075 A Jesse Jewel Pkwy Gainesville GA 30501-6103 |
| Phone Number | 7705329936 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 9335046382 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110041 | HABERSHAM COUNTY MEDICAL CTR |
| 110032 | STEPHENS COUNTY HOSPITAL |
| 110051 | UNION GENERAL HOSPITAL |
| 110187 | CHESTATEE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1075 A Jesse Jewel Pkwy, Gainesville, GA 30501-6103 | 7705329936 | GAINESVILLE RADIOLOGY GROUP, PC |
| Organization Legal Name | GAINESVILLE RADIOLOGY GROUP, PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Stephen | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Ajay Ravi | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Lee Allen Martin Jr. | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Richard C Cory | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Robert J Balotin | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Matthew L Scott | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Trevor N Hooper | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Henry A Woods | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Andrew F Roush | Physician Assistant | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Jon Horn | Diagnostic Radiology | Gainesville Radiology Group, PC | 743 Spring St Ne, Gainesville, GA 30501-3715 |
| Street Address |
1075 A JESSE JEWEL PKWY |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-6103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GAINESVILLE + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.