DR. JEREMY WARD MARTIN (NPI# 1104833508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104833508 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WARD MARTIN |
| Credential | DC |
| Practice Address |
132 Hurricane Shoals Rd Ne Suite B Lawrenceville GA 30045-4476 |
| Practice Telephone | 7702373970 |
| Practice Fax Number | 7702375891 |
| Mailing Telephone | 7702373970 |
| Mailing Fax Number | 7702375891 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR006280 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1326410143 | Jeremy Martin | Community/Behavioral Health | 114 Royal St., Natchitoches, LA 71457 | 2015-10-21 |
| 1881829240 | Jeremy M Martin | Physical Therapist | 4767 Drane Field Rd, Lakeland, FL 33811-1220 | 2009-05-28 |
| 1780145599 | Jeremy W Martin | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2019-03-26 |
| 1265998017 | Jeremy D Martin | Physical Therapist | 500 E Business Way, Cincinnati, OH 45241-2374 | 2019-02-18 |
| 1811463821 | Jeremy Bryce Martin | Counselor | 241 Wright St, Marquette, MI 49855-1955 | 2018-10-17 |
| 1912381328 | Jeremy King Martin | Counselor | 491 Main St, Athol, MA 01331-1846 | 2015-07-15 |
| 1245522895 | Jeremy G Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2011-05-13 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Street Address |
132 HURRICANE SHOALS RD NE SUITE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290942 | Shelby Kemp | Chiropractor | 455 Grayson Hwy Ste 107, Lawrenceville, GA 30046-7159 | 2020-06-23 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1366002651 | Princeton Brain Spine and Sports Medicine, LLC | Chiropractor | 558 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 | 2019-06-18 |
| 1205491313 | Youngoh Kim | Chiropractor | 1770 Rutland Pass Dr, Lawrenceville, GA 30045-3726 | 2019-05-03 |
| 1568934719 | Renee Christine Robus | Chiropractor | 136 Franklin Corner Rd Ste 110, Lawrenceville, NJ 08648-2586 | 2018-12-28 |
| 1174005284 | Rita Patel | Chiropractor | 2709 Still Farms Pl, Lawrenceville, GA 30043-6156 | 2018-09-05 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1750801205 | Revive Medical Center, LLC | Chiropractor | 753 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4312 | 2017-06-26 |
| 1043602170 | Tn Chiropractic Clinic, LLC | Chiropractor | 1848 Old Norcross Rd Ste A400, Lawrenceville, GA 30044-2311 | 2015-02-26 |
| 1386045706 | Bruce R. Brilliantine | Chiropractor | 2 Princess Road, Suiet #2, Lawrenceville, NJ 08648 | 2014-09-05 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on DR. JEREMY WARD MARTIN.
| 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.