Kelley N Martin (NPI# 1841384443, PAC ID# 4688691256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841384443 |
| PAC ID by PECOS | 4688691256 |
| Professional Enrollment ID | I20051102000295 |
| Full Name | Kelley N Martin |
| Organization Legal Name | MARTIN HEALTH CARE, LLC |
| Address |
218 E Main St Florence Family Clinic Florence MS 39073-0530 |
| Phone Number | 6018456602 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1993 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385727361 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250138 | MERIT HEALTH RIVER OAKS |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 | 6018456602 | MARTIN HEALTH CARE, LLC |
| Organization Legal Name | MARTIN HEALTH CARE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margo W Garrett | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Candice Ashley | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Street Address |
218 E MAIN ST FLORENCE FAMILY CLINIC |
| City | FLORENCE |
| State | MS |
| Zip | 39073-0530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellie L Kulow | Chiropractic | 218 E Main St, Brenham, TX 77833-3780 | |
| Jeffrey J West | Chiropractic | 218 E Main St, Suite 112, Newark, DE 19711-7364 | |
| Margo W Garrett | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Candice Ashley | Nurse Practitioner | Martin Health Care, LLC | 218 E Main St, Florence Family Clinic, Florence, MS 39073-0530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert V Coleman | Family Practice | 3091 Hwy 49 S, Suite B, Florence, MS 39073 | |
| Roderick A Shields | Family Medicine | 128 Earl Clark Dr, Florence, MS 39073-6604 | |
| Sonya Whatley | Nurse Practitioner | 3091 Hwy 49 S, Suite F, Florence, MS 39073-9446 | |
| Angela M Hoover | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| Derek W Puckett | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| Eleanor H Smith | Physical Therapy | Florence Rehabilitation Center,inc. | 3000 Hwy 49 S, Florence, MS 39073-9491 |
| Laurie E Fowler | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 1201 Gunter Rd, Florence, MS 39073-9711 |
| City | FLORENCE |
| Zip Code | 39073 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelley N Martin.
| 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.