MR. CHRISTOPHER WILFRED MARTIN (NPI# 1720389885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720389885 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER WILFRED MARTIN |
Practice Address |
135 Pebble Ridge Dr Covington GA 30014-4400 |
Practice Telephone | 4049924031 |
Mailing Telephone | 4049924031 |
Enumeration Date | 2010-11-05 |
Last Update Date | 2010-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
N | 374J00000X | Doula | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029401 | Christopher Martin | Clinic/Center | 143 Trump Ave, Oak Hill, WV 25901-2424 | 2020-10-08 |
1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
1992055651 | Christopher Peter Martin | Physical Therapy Assistant | 67 Grant Street, Bridgeport, CT 06601 | 2012-09-10 |
1346521234 | Christopher Martin | Specialist/Technologist, Other | 1 Madigan Ln, Ayer, MA 01432-1164 | 2011-09-06 |
1871721191 | Christopher Lynn Martin | Emergency Medicine | 2910 Neilson Way Unit 409, Santa Monica, CA 90405-5323 | 2009-06-25 |
1427248061 | Christopher Scott Martin | Occupational Therapy Assistant | 1044 E Bayview Blvd, Norfolk, VA 23503-3920 | 2007-07-30 |
1043285315 | Christopher Martin | Internal Medicine | Saint Francis Medical Center, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-02-21 |
1750362505 | Christopher Robert Martin | Allergy & Immunology | 8901 Rockville Picke Wrnmmc, Bethesda, MD 20889-0001 | 2005-11-09 |
1508492281 | Christopher L Martin | Home Health | 5901 E 7th St, Long Beach, CA 90822 | 2020-03-13 |
Street Address |
135 PEBBLE RIDGE DR |
City | COVINGTON |
State | GA |
Zip Code | 30014-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
Find all providers in zip 30014 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
1891994745 | Fay A Laing | Adult Companion | 660 Kirkland Rd, Covington, GA 30016-3316 | 2007-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861156 | Angela Emanuel Morris | Adult Companion | 3805 Bayside Psge Nw, Acworth, GA 30101-4384 | 2020-11-02 |
1194330787 | Quanisha Aliyah Vera | Adult Companion | 3805 Nicoll Dr, Augusta, GA 30906-9242 | 2020-09-10 |
1720690852 | Shermaine Demetric Cleveland | Adult Companion | 1508 Teakwood Dr, Griffin, GA 30223-1062 | 2020-08-19 |
1780202960 | Shabaka Fletcher | Adult Companion | 901 Stoneview Trl Nw, Lilburn, GA 30047-7127 | 2020-07-14 |
1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
1447878020 | Shanta Lafaye Watkins | Adult Companion | 103 Ashlund Dr, Centerville, GA 31028-1262 | 2020-07-09 |
1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1174146682 | Atrianon, LLC | Adult Companion | 9048 River Bend Ct, Villa Rica, GA 30180-4157 | 2020-05-19 |
1811518616 | Laquinta A Hutchins | Adult Companion | 7684 Bernardo Dr, Riverdale, GA 30296-7191 | 2020-05-03 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
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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.