CECILY COLE MARTIN (NPI# 1154472314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154472314 |
| Entity Type | Individual |
| Full Name | CECILY COLE MARTIN |
| Credential | M.D. |
| Practice Address |
2400 Mount Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7708626146 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
054983 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2400 MOUNT ZION PARKWAY KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309128 | Debora K Boyle Borkowski | Registered Nurse | 2400 Mount Zion Parkway, Department of Behavioral Health, Jonesboro, GA 30236 | 2006-01-09 |
| 1104134295 | Matthieu Laliberte | Family Medicine | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2010-09-22 |
| 1871732404 | Patricia Ann Jones | Psychiatry & Neurology | 2400 Mount Zion Parkway, Southwood Dept of Behavioral Health, Jonesboro, GA 30236 | 2009-02-04 |
| 1326298605 | Roza Elena Clempus | Internal Medicine | 2400 Mount Zion Parkway, Endocrinolgy Department, Jonesboro, GA 30236 | 2008-09-24 |
| 1750541892 | Neha Sharma | Radiology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2008-06-12 |
| 1609054626 | Karen Reneau Stewart | Psychiatry & Neurology | 2400 Mount Zion Parkway, Behavorial Health, Jonesboro, GA 30236 | 2008-01-31 |
| 1235322934 | Andrew Nathan Kobylivker | Internal Medicine | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-08-25 |
| 1790839660 | Joseph T Schifilliti | Obstetrics & Gynecology | 2400 Mount Zion Parkway, Department of Obstetrics & Gynecology, Jonesboro, GA 30236 | 2007-01-22 |
| 1407924608 | Mark J Johnson | Radiology | 2400 Mount Zion Parkway, Department of Radiology, Jonesboro, GA 30236 | 2006-12-04 |
| 1245398478 | Janice C Matthewson | Family Medicine | 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, GA 30236 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497993745 | David John Marzewski | Psychiatry & Neurology | 1516 County Road 360, Jonesboro, AR 72401-0166 | 2009-01-24 |
| 1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
| 1164633913 | Rut D. Dholakia | Psychiatry & Neurology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical, Jonesboro, GA 30236 | 2007-05-24 |
| 1457579492 | Sonal Ramesh Hazariwala | Psychiatry & Neurology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-04-23 |
| 1801943378 | South Atlanta Neurology & Diagnostics, PC | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2007-01-05 |
| 1588751523 | Yuanyuan Long | Psychiatry & Neurology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-10-10 |
| 1841256609 | Bing Behrens | Psychiatry & Neurology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-21 |
| 1720042138 | Kenneth Chan | Psychiatry & Neurology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-13 |
| 1457314577 | Ronald E South | Psychiatry & Neurology | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2006-04-10 |
| 1043273568 | Mario Cauli | Psychiatry & Neurology | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2006-04-07 |
| Find all providers in JONESBORO | ||||
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| 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.