MR. NATHAN MCKENZIE MARSH (NPI# 1518918549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518918549 |
| Entity Type | Individual |
| Full Name | MR. NATHAN MCKENZIE MARSH |
| Credential | PA-C |
| Practice Address |
1404 River Pl Ste 401 Braselton GA 30517 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7708486190 |
| Practice Fax Number | 7708485367 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 004526 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004526 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 S Enota Dr Ne, Suite Q, Gainesville, GA 305012400 | 7702196602 | 7702192625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313308 | Nathan Patrick Marsh | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-21 |
| 1649647330 | Nathan Lyle Marsh | Chiropractor | 705 Ewald Ave Se, Salem, OR 97302-3403 | 2015-08-28 |
| 1669633863 | Nathan Swain Marsh | Counselor | 41870 Kalmia St, Suite 165, Murrieta, CA 92562-8839 | 2008-06-19 |
| 1710030044 | Nathan Andrew Marsh | Orthopaedic Surgery | 300 W Hospital Rd, Eisenhower Army Medical Center, Attn Credentials, Augusta, GA 30905-5741 | 2007-01-19 |
| 1972511764 | Nathan A. Marsh | Military Health Care Provider | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-08-04 |
| Street Address |
1404 RIVER PL STE 401 |
| City | BRASELTON |
| State | GA |
| Zip Code | 30517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257191 | Cynthia S Brand | Physician Assistant | 1404 River Pl Ste 401, Braselton, GA 30517-5600 | 2005-07-07 |
| 1427521202 | Allison A Smith | Physician Assistant | 1404 River Pl Ste 401, Braselton, GA 30517-5600 | 2019-01-04 |
| 1972033074 | Katrina Elizabeth Brown | Physician Assistant | 1404 River Pl Ste 401, Braselton, GA 30517 | 2017-06-13 |
| 1255866943 | Carlos Juan Garcia IIi | Physician Assistant | 1404 River Pl Ste 401, Braselton, GA 30517-5600 | 2017-05-01 |
| 1023400777 | Christopher R Huckle | Family Medicine | 1404 River Pl Ste 401, Braselton, GA 30517 | 2015-03-03 |
| 1235187030 | Darrell Kevin Scales | Orthopaedic Surgery | 1404 River Pl Ste 401, Braselton, GA 30517-5600 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904076 | Northeast Georgia Dental Group | Dentist | 1205 Friendship Road, Braselton, GA 30517 | 2018-06-05 |
| 1548772544 | Shaniqua Lynee Sims | Nurse Practitioner | 1515 River Pl Ste 280, Braselton, GA 30517 | 2017-10-30 |
| 1538671847 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 1255 Frienship Road, Suite 150, Braselton, GA 30517 | 2017-10-26 |
| 1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1407140999 | Ashley Williams Zimmerman | Registered Nurse | 1515 River Pl Ste 340, Braselton, GA 30517 | 2011-06-02 |
| 1891097382 | Thu Mong Tran Nguyen | Dentist | 1702 Ammon Falls Ct, Braselton, GA 30517 | 2010-12-03 |
| 1053436030 | Andrew L Tam | Dentist | 5122 Hwy 53, Braselton, GA 30517 | 2007-03-20 |
| 1871503987 | Kathy Baxendale Morse | Nurse Practitioner | 2695 Old Winder Hwy, Suite 200, Pediatric Associates, Braselton, GA 30517 | 2006-08-09 |
| 1073585782 | Champak Patel | Legal Medicine | 5196 Hwy 53, Braselton, GA 30517 | 2006-02-06 |
| Find all providers in zip 30517 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521202 | Allison A Smith | Physician Assistant | 1404 River Pl Ste 401, Braselton, GA 30517-5600 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
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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.