MRS. AMANDA STEPHANIE MARTIN (NPI# 1740447986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740447986 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA STEPHANIE MARTIN |
| Other Name | MISS AMANDA STEPHANIE CLEMENT |
| Credential | PA-C, MMS |
| Practice Address |
195 King Ave Athens GA 30606-0000 |
| Mailing Address |
195 King Ave Athens GA 30606 |
| Practice Telephone | 7065498306 |
| Practice Fax Number | 7065498351 |
| Mailing Telephone | 7065498306 |
| Mailing Fax Number | 7065498351 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9104515 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 5307 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 005307 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340307 | Amanda Martin | Nurse Practitioner | 11807 S 103rd East Ave, Bixby, OK 74008-3023 | 2020-06-12 |
| 1801451489 | Amanda Martin | Pharmacist | 1110 American Pkwy Ne, Allentown, PA 18109-9117 | 2019-05-08 |
| 1811479355 | Amanda Marie Martin | Technician | 21444 East North Railroad, Howe, OK 74940 | 2018-08-31 |
| 1386181907 | Amanda Martin | Counselor | 1235 Riverside Dr Apt E3, Gainesville, GA 30501-1846 | 2017-01-20 |
| 1992249619 | Amanda L. Martin | Specialist/Technologist | 580 Old Homestead Hwy, Swanzey, NH 03446-2301 | 2016-12-14 |
| 1396116802 | Amanda Martin | Student in an Organized Health Care Education/Training Program | 1596 Ogden Rd, Wilmington, OH 45177-9189 | 2015-10-08 |
| 1417254301 | Amanda Martin | Physical Therapy Assistant | 15625 Woodland Point Rd, Newburg, MD 20664-6304 | 2011-02-11 |
| 1801061361 | Amanda Higby Martin | Nurse Practitioner | 1035c Seven Lakes Dr, West End, NC 27376-9081 | 2008-04-25 |
| 1518055763 | Amanda Sue Martin | Occupational Therapy Assistant | 3111 Williamson County Parkway, Marion, IL 62959 | 2006-10-11 |
| 1003865130 | Amanda Martin | Speech-Language Pathologist | 4840 Alpha Dr, Bozeman, MT 59718-9272 | 2006-05-08 |
| Street Address |
195 KING AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914207 | Erin Boyer Kilzi | Physician Assistant | 195 King Ave, Athens, GA 30606-2963 | 2005-10-04 |
| 1942772777 | James Beauliere Fercilien | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2018-12-18 |
| 1053776732 | Lisa Bartlow | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2015-12-22 |
| 1659616316 | Carlton M Guthrie PC | Nurse Anesthetist, Certified Registered | 195 King Ave, Athens, GA 30606-6736 | 2012-12-06 |
| 1942564034 | Megan Marett Lovett | Nurse Practitioner | 195 King Ave, Athens, GA 30606-6736 | 2012-07-03 |
| 1770857096 | Athens Imaging Center | Radiology | 195 King Ave, Athens, GA 30606-6736 | 2012-03-05 |
| 1649552878 | Sabra Brooker | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2011-09-14 |
| 1205124492 | Thompson Gynecology PC | Obstetrics & Gynecology | 195 King Ave, Athens, GA 30606-6736 | 2011-07-21 |
| 1477718500 | Athens Vein Clinic, PC | Specialist | 195 King Ave, Athens, GA 30606-2963 | 2008-07-29 |
| 1740471630 | Urology of Athens, P.a. | Urology | 195 King Ave, Athens, GA 30606-2963 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261162 | Kayla Elizabeth Moore | Physician Assistant | 1477 Cotton Hollow Rd, Athens, PA 18810-7769 | 2020-06-29 |
| 1053934844 | William Aaron Retterbush | Physician Assistant | 250 W Broad St Apt 624, Athens, GA 30601-4817 | 2020-05-27 |
| 1689219552 | Katie Rhea Collins | Physician Assistant | 2400 Denso Dr, Athens, TN 37303-7835 | 2019-11-14 |
| 1538535984 | Tina Beatty | Physician Assistant | 146 Parks Hall, Athens, OH 45701-1359 | 2015-08-19 |
| 1811325673 | Janna Leigh Baker | Physician Assistant | 1000 Hawthorne Ave Ste T, Athens, GA 30606-2168 | 2013-10-14 |
| 1639457716 | Kara Renee Whyte | Physician Assistant | 242 King Ave, Medical Services Building, 2nd Floor, Athens, GA 30606-3506 | 2011-07-24 |
| 1336367671 | Robert Kevin Chin | Physician Assistant | 711 Cook Dr Ste 100, Athens, TN 37303-3499 | 2007-04-23 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1124184742 | Mara Renee Franklin | Physician Assistant | 1450 Barnett Shoals Rd Ste B, Athens, GA 30605-2748 | 2006-12-28 |
| 1750313854 | Emergency Professionals of Ohio, Inc. | Physician Assistant | 55 Hospital Drive, Athens, OH 45701-2345 | 2006-07-07 |
| Find all providers in ATHENS | ||||
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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.