Martha House Crenshaw (NPI# 1255325536, PAC ID# 4789876459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1255325536 |
PAC ID by PECOS | 4789876459 |
Professional Enrollment ID | I20101013000688 |
Full Name | Martha House Crenshaw |
Organization Legal Name | STONE MOUNTAIN FAMILY PRACTICE, PC |
Address |
1805 Parke Plaza Cir Suite 101 Stone Mountain GA 30087-3646 |
Phone Number | 7704697000 |
Gender | F |
Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5799977468 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110076 | DEKALB MEDICAL CENTER |
110192 | EASTSIDE MEDICAL CENTER |
110087 | GWINNETT MEDICAL CENTER |
110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
Address | Phone | Organization |
---|---|---|
1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 | 7704697000 | STONE MOUNTAIN FAMILY PRACTICE, PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | STONE MOUNTAIN FAMILY PRACTICE, PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kanani Floyd | Physician Assistant | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Carla Cooke | Physician Assistant | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Cheri Mcclendon Schneider | Family Medicine | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Catherine Huggins Alexander | Family Practice | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Stone Mountain, GA 30087-3646 |
Street Address |
1805 PARKE PLAZA CIR SUITE 101 |
City | STONE MOUNTAIN |
State | GA |
Zip | 30087-3646 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kanani Floyd | Physician Assistant | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Carla Cooke | Physician Assistant | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Cheri Mcclendon Schneider | Family Medicine | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3646 |
Catherine Huggins Alexander | Family Practice | Stone Mountain Family Practice, PC | 1805 Parke Plaza Cir, Stone Mountain, GA 30087-3646 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen S Johnson | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
Albert Scott Jr. | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
Trudy Seivwright | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
Mark Andrew Stevens | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Jose Roberto Aveiga | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Kathrine Mallard Meacham | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Ketreena Roshawn Footman | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Jonathan D Norton | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Robert Lee Felber Iii | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
Anastasia Thomas | Podiatry | Instep Podiatry, LLC | 5385 Five Forks Trickum Rd F, Stone Mountain, GA 30087-3018 |
Find all physicians in zip 30087 |
City | STONE MOUNTAIN |
Zip Code | 30087 |
Specialty | FAMILY MEDICINE |
City + Specialty | STONE MOUNTAIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Martha House Crenshaw.
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.