MIKE MARSHALL (NPI# 1396159364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396159364 |
| Entity Type | Individual |
| Full Name | MIKE MARSHALL |
| Credential | MDR |
| Practice Address |
375 Castleridge Dr Sandy Springs GA 30342-1310 |
| Practice Telephone | 4048044236 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
375 CASTLERIDGE DR |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30342-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1730747817 | Tierah Russell | Contractor | 2911 Leisure Woods Ln, Decatur, GA 30034-3430 | 2019-06-03 |
| 1306211784 | Sharhonda Barrett | Contractor | 73 Midway Park Road, Silver Creek, GA 30173 | 2015-12-10 |
| 1053714394 | Patricia Marsters | Contractor | 818 Old Ailey Lothair Rd, Ailey, GA 30410-3332 | 2014-10-01 |
| 1316387913 | Georgia Senior Services LLC | Contractor | 770 Old Roswell Place, Suite J100 - 200, Roswell, GA 30076 | 2013-06-27 |
| 1316289028 | Joanne S Bradley | Contractor | 2300 Bethelview Rd, Suite 110-442, Cumming, GA 30040-9475 | 2013-03-20 |
| 1164729646 | Anderson's Ccbi | Contractor | 1581 Queen Elizabeth Dr, Locust Grove, GA 30248-3660 | 2011-02-18 |
| 1053638874 | Jerry Labron Ragon | Contractor | 8 W 8th St, Chickamauga, GA 30707-1308 | 2010-05-04 |
| City | SANDY SPRINGS |
| Zip Code | 30342 |
Please comment or provide details below to improve the information on MIKE MARSHALL.
| 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.