Christopher Anthony Martin (NPI# 1275012254, PAC ID# 3678826492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1275012254 |
| PAC ID by PECOS | 3678826492 |
| Professional Enrollment ID | I20181024003115 |
| Full Name | Christopher Anthony Martin |
| Organization Legal Name | ANKLE AND FOOT CENTERS OF GEORGIA, LLC |
| Address |
1075 Lafayette Pkwy Suite 200 Lagrange GA 30241-3584 |
| Phone Number | 7068459370 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8022295294 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1075 Lafayette Pkwy, Suite 200, Lagrange, GA 30241-3584 | 7068459370 | ANKLE AND FOOT CENTERS OF GEORGIA, LLC |
| Organization Legal Name | ANKLE AND FOOT CENTERS OF GEORGIA, LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaynah Hannah Goldfine | Podiatry | Ankle and Foot Centers of Georgia, LLC | 147 Reinhardt College Pkwy, Suite 10, Canton, GA 30114-5295 |
| Richard D Kaufman | Podiatry | Ankle and Foot Centers of Georgia, LLC | 865 Holcomb Bridge Rd A, Roswell, GA 30076-2009 |
| Evan M Lewis | Podiatry | Ankle and Foot Centers of Georgia, LLC | 120 N Medical Pkwy, Bldg 100 Suite 102, Woodstock, GA 30189-7062 |
| Cayla Conway | Podiatry | Ankle and Foot Centers of Georgia, LLC | 215 Clairemont Ave, Decatur, GA 30030-2508 |
| Stephen L. Barrett | Podiatry | Ankle and Foot Centers of Georgia, LLC | 1975 Hwy 54 W, Suite 210, Peachtree City, GA 30269-4794 |
| Naim Ghais Shaheed | Podiatry | Ankle and Foot Centers of Georgia, LLC | 6000 Hillandale Dr, Suite 125, Lithonia, GA 30058-4840 |
| Gary Pratt | Physical Therapy | Ankle and Foot Centers of Georgia, LLC | 1767 Rock Quarry Rd, Stockbridge, GA 30281-7303 |
| William K Pearson | Podiatry | Ankle and Foot Centers of Georgia, LLC | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 |
| Joseph D Giovinco | Podiatry | Ankle and Foot Centers of Georgia, LLC | 2326 Hwy 34 E, Suite 200, Newnan, GA 30265-1328 |
| Charles Sidlow | Podiatry | Ankle and Foot Centers of Georgia, LLC | 958 Joe Frank Harris Pkwy Se, Bldg A106, Cartersville, GA 30120-2151 |
| Street Address |
1075 LAFAYETTE PKWY SUITE 200 |
| City | LAGRANGE |
| State | GA |
| Zip | 30241-3584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard P Hollstrom Jr. | Podiatry | Med Ventures Mri, LLC | 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 |
| Davin Gerrard Mitchell | Anesthesiology | 1075 Lafayette Pkwy, Suite 100, Lagrange, GA 30241-3584 | |
| Tracy W Flory | Nurse Practitioner | Lafayette Neurology, PC | 1075 Lafayette Pkwy, Suite 210, Lagrange, GA 30241-3584 |
| Lowell Evan Michael | Pathology | Surgical and Cosmetic Dermatology, P. C. | 1075 Lafayette Pkwy, Suite 240, Lagrange, GA 30241-3584 |
| Takia M Oglesby | Pain Management | Lafayette Neurology, PC | 1075 Lafayette Pkwy, Suite 210, Lagrange, GA 30241-3584 |
| Robert Greer | Neurology | Med Ventures Mri, LLC | 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 |
| Amy Purdy | Physical Therapy | Med Ventures Physical Therapy LLC | 1075 Lafayette Pkwy, Suite 220, Lagrange, GA 30241-3733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chantel L Colmer | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Tammi L Kaminsky | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Sandeep Singh | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Olumide Ajayi | Family Medicine | Wellstar Medical Group, LLC | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Cynthia M Bokor | Physician Assistant | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Ferdinand Q Alcaide | Nephrology | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| Carrie Whitehead | Nurse Practitioner | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| John Andrews | Psychiatry | 321 Greenville St, Lagrange, GA 30241-3231 | |
| Eric A Crouch | Chiropractic | 413 Greenville St, Lagrange, GA 30241-3360 | |
| Syed A W Ahmed | Internal Medicine | 142 Old Mill Rd, Lagrange, GA 30241-6704 | |
| Find all physicians in zip 30241 | |||
| City | LAGRANGE |
| Zip Code | 30241 |
| Specialty | PODIATRY |
| City + Specialty | LAGRANGE + PODIATRY |
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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.