MR. JESSE Q. MARTIN (NPI# 1609174093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609174093 |
Entity Type | Individual |
Full Name | MR. JESSE Q. MARTIN |
Credential | PA-C |
Practice Address |
100 Market Place Blvd Suite 200 Cartersville GA 30121-8718 |
Mailing Address |
1700 Hospital South Dr Suite 300 Austell GA 30106-6810 |
Practice Telephone | 7703867253 |
Practice Fax Number | 7703826424 |
Mailing Telephone | 7709442830 |
Mailing Fax Number | 6785817170 |
Enumeration Date | 2011-03-09 |
Last Update Date | 2011-06-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006066 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | NPI NUMBER | 1609174093 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881001170 | Jesse Martin | Specialist/Technologist | 2463 Augusta Hwy, Lexington, SC 29072-2215 | 2014-07-18 |
1205114956 | Jesse Wells Martin | Behavioral Analyst | 8600 W Charleston Blvd, 2127, Las Vegas, NV 89117-5407 | 2011-07-29 |
1124261490 | Jesse Carroll Martin | Speech-Language Pathologist | 1526 E 7th Ave, Spokane, WA 99202-5510 | 2009-04-15 |
1932668787 | Jesse Martin | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2019-03-19 |
1346709748 | Jesse Martin | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-03-15 |
1487122560 | Jesse Martin | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1982985958 | Jesse Charles Martin | Counselor | 2945 S Miami Blvd, Suite 103, Durham, NC 27703-8024 | 2011-09-06 |
1144514571 | Jesse Allen Martin | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2011-06-02 |
1346473642 | Jesse Collin Martin | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2009-09-02 |
Street Address |
100 MARKET PLACE BLVD SUITE 200 |
City | CARTERSVILLE |
State | GA |
Zip Code | 30121-8718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437155777 | James 'keith' Rice | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2005-06-22 |
1255882742 | Robert Joel Harris | Counselor | 100 Market Place Blvd, Suite 302, Cartersville, GA 30121-8718 | 2016-10-19 |
1760849095 | Radiation Oncology of Georgia LLC | Radiology | 100 Market Place Blvd, Cartersville, GA 30121-8718 | 2016-01-17 |
1356716724 | Jetalkumar Patel | Pharmacist | 100 Market Place Blvd, Cartersville, GA 30121-8718 | 2015-12-10 |
1871900266 | Stephanie Cordell Morgan | Nurse Practitioner | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2014-07-17 |
1720348188 | Marcia C Hennessey | Counselor | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2012-05-20 |
1316183320 | Rocio Cristina Rauber | Physician Assistant | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2008-12-22 |
1962671347 | East Cobb Cardiology LLC | Specialist | 100 Market Place Blvd, Suite 300, Cartersville, GA 30121-8717 | 2008-02-29 |
1578755351 | Center for Infectious Diseases LLC | Specialist | 100 Market Place Blvd, Suite 207, Cartersville, GA 30121-8718 | 2007-08-15 |
1083742175 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 100 Market Place Blvd, Ste 200, Cartersville, GA 30121-8718 | 2007-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
1245750249 | Gina Marie Hoosline | Contractor | 38 Roving Rd Se, Cartersville, GA 30121 | 2017-06-21 |
1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
1811340797 | Pt Solutions of Acworth LLC | Physical Therapist | 261 Stars Way, Cartersville, GA 30121 | 2016-07-15 |
1053572172 | Helen Clair Medlin | Nurse Practitioner | 255 Prosperity Way Ne, Adairsville, GA 30121 | 2008-06-20 |
1669539508 | The Healthcaring Clinic of Georgia, LLC | Nurse Practitioner | 491 East Main St., Cartersville, GA 30121 | 2007-01-02 |
1275636334 | Medicine Stop Pharmacy | Pharmacy | 117 S Tennessee St, Cartersville, GA 30121 | 2006-09-06 |
1750494423 | Georgia Pain Spine Center | Clinic/Center | 15 Medical Drive, Suite 302, Cartersville, GA 30121 | 2006-08-16 |
1932138716 | Cartersville Diagnostic Center | Clinic/Center | 21 Pointe North Drive, Suite 105, Cartersville, GA 30121 | 2006-07-02 |
1689663825 | Howard Jamie Williams | Physician Assistant | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 | 2005-10-20 |
Find all providers in zip 30121 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437155777 | James 'keith' Rice | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2005-06-22 |
1326408147 | Jenavieve Averyl Rummel | Physician Assistant | 100 Market Place Blvd Ste 200, Cartersville, GA 30121-8716 | 2016-03-07 |
1306102421 | Alexandra D. Tuuk | Physician Assistant | 100 Market Place Blvd Ste 200, Cartersville, GA 30121-8716 | 2012-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
Find all providers with the same taxonomy |
City | CARTERSVILLE |
Zip Code | 30121 |
Please comment or provide details below to improve the information on MR. JESSE Q. 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.