JASON MARTIN (NPI# 1811174212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811174212 |
| Entity Type | Individual |
| Full Name | JASON MARTIN |
| Credential | CSA |
| Practice Address |
200 Marriott Dr College Park GA 30349-2717 |
| Practice Telephone | 7709854257 |
| Practice Fax Number | 7709854258 |
| Mailing Telephone | 7709854257 |
| Mailing Fax Number | 7709854258 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275174187 | Jason Isaiah Martin | Behavior Technician | 930 Saint Francis Blvd Apt 2073, Daly City, CA 94015-4336 | 2019-10-01 |
| 1528521028 | Jason Timothy Martin | Counselor | 2940 Breezewood Ave Ste 100, Fayetteville, NC 28303-5521 | 2019-04-11 |
| 1245738244 | Jason Lloyd Martin | Nurse Practitioner | 100 Hospital St Ste 100, Booneville, MS 38829-3354 | 2018-01-25 |
| 1154793883 | Jason Martin | Counselor | 4406 Chambers Rd, Apt F11, Macon, GA 31206-4725 | 2015-10-21 |
| 1841629417 | Jason M Martin | Nurse Practitioner | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2013-11-05 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1306178769 | Jason Benson Martin | Physical Therapist | 2311 Lake Aprk Drive, Albany, GA 31707 | 2010-02-09 |
| 1972150787 | Jason Martin | Counselor | 343 Dela Vina Ave, Monterey, CA 93940-3974 | 2019-08-26 |
| 1043878796 | Jason Martin | Technician | 1350 E M 21, Owosso, MI 48867-8000 | 2019-05-29 |
| 1083173488 | Jason A. Martin | Nurse Practitioner | 600 N Jackson St, Tullahoma, TN 37388-3542 | 2019-03-15 |
| Street Address |
200 MARRIOTT DR |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| 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 |
|---|---|---|---|---|
| 1811320393 | Andrea Megan Winsor-lovely | Physician Assistant | 140 Campus Drive, College Park, MD 20742 | 2013-08-19 |
| 1003212374 | Lauren Elizabeth Spain | Physician Assistant | 1624 Virginia Ave, College Park, GA 30337-2824 | 2014-11-13 |
| 1235454711 | Heather Teitelbaum | Physician Assistant | 140 Campus Dr, College Park, MD 20742-0001 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
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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.