MR. MARTIN LYLE PLOG (NPI# 1184679680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679680 |
| Entity Type | Individual |
| Full Name | MR. MARTIN LYLE PLOG |
| Credential | L.P.C. |
| Practice Address |
2610 Highway 129 N Jefferson GA 30549-2652 |
| Mailing Address |
48 Pebble Ct Hoschton GA 30548-3071 |
| Practice Telephone | 7063671008 |
| Mailing Telephone | 7063671008 |
| Mailing Fax Number | 7067694535 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001615 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2610 HIGHWAY 129 N |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336411347 | Jefferson Pediatrics, Inc. | Clinic/Center | 2610 Highway 129 N, Jefferson, GA 30549-2652 | 2012-02-07 |
| 1700035797 | Dana Buck Irwin | Nurse Practitioner | 2610 Highway 129 N, Jefferson, GA 30549-2652 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522863 | Brandon Shurn | Counselor | 4014 Mountville Rd # J, Jefferson, MD 21755-7713 | 2018-09-20 |
| 1821598491 | Kathryn Marie Stingl | Counselor | 115 S Fischer Ave, Jefferson, WI 53549-2123 | 2018-02-20 |
| 1306113279 | Navjot A. Redpath | Counselor | 1500 River Oaks Road W., Suite 100-a, Jefferson, LA 70123 | 2011-11-21 |
| 1326322934 | Ashleigh Gros Castro | Counselor | 2606 Audubon Trce, Jefferson, LA 70121-1561 | 2011-09-30 |
| 1346564416 | Allen Sinclair Young | Counselor | 827 Jefferson Walk Cir, Jefferson, GA 30549-5582 | 2010-03-18 |
| 1649425224 | Diane Wait | Counselor | 514 Mcconnell St, Jefferson, NC 28640-9789 | 2008-11-24 |
| 1225163603 | Jenny Diane Gibbs | Counselor | 224 North Main Street, Jefferson, NC 28640 | 2007-02-23 |
| 1477613180 | Todd S Capielano | Counselor | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2006-12-11 |
| 1922064864 | David John Ohrt | Counselor | 1217 W Lincolnway St, Jefferson, IA 50129-1671 | 2006-04-20 |
| 1962479568 | Rebecca Jean Faw | Counselor | 221 W Main St, Jefferson, NC 28640-9723 | 2006-03-02 |
| Find all providers in JEFFERSON | ||||
Please comment or provide details below to improve the information on MR. MARTIN LYLE PLOG.
| 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.