RICKY RAY MARTIN (NPI# 1821113622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821113622 |
| Entity Type | Individual |
| Full Name | RICKY RAY MARTIN |
| Practice Address |
601 Gregg Ave Florence SC 29502 |
| Mailing Address |
Po Box 6196 601 Gregg Ave Florence SC 29502 |
| Practice Telephone | 8436659349 |
| Practice Fax Number | 8436696122 |
| Mailing Telephone | 8436659349 |
| Mailing Fax Number | 8436696122 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ICADC15584 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1124292024 | Ricky Anthony Martin | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2008-04-22 |
| Street Address |
601 GREGG AVE |
| City | FLORENCE |
| State | SC |
| Zip Code | 29502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922154392 | James Mark Gibbs | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-01-26 |
| 1427447978 | Palmetto Pee Dee Behavioral Health Inc | Clinic/Center | 601 Gregg Ave, Florence, SC 29501-4316 | 2015-01-21 |
| 1467897694 | Lisa F Burkett | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2013-05-01 |
| 1508105594 | Rachael Marchette | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2013-02-11 |
| 1780970624 | Holly S Morrison | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2011-06-20 |
| 1851423222 | Johnny R Willis | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-03-12 |
| 1598895971 | Pamela Amerson Williams | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649645037 | Reghan Boehmke | Specialist/Technologist | 4622 E Palmetto St, Florence, SC 29502 | 2015-12-10 |
| 1497120828 | Francis Marion University | Clinic/Center | 4622 E. Palmetto St, Florence, SC 29502 | 2015-12-10 |
| 1740498260 | Lakia Easton | Occupational Therapist | 1834 Sally Hill Farm Blvd., Florence, SC 29502 | 2007-05-18 |
| 1356561518 | Upender Singh | Physical Therapist | 1834 Sally Hill Farm Blvd, Florence, SC 29502 | 2007-04-27 |
| 1164403184 | Florence Visiting Nurses Service Inc | Home Health | 1605-c W Palmetto St, Florence, SC 29502 | 2005-11-08 |
| 1326008350 | Kelli Jo Hansen | Nurse Anesthetist, Certified Registered | 555 Cheves Street, Florence, SC 29502 | 2006-03-24 |
| 1508286550 | David Ismael Estephan | Internal Medicine | Po Box 100551, Florence, SC 29502-0551 | 2014-04-17 |
| 1740250703 | Circlepark Behavioral Health Serices | Residential Treatment Facility, Emotionally Disturbed Children | 601 Gregg Avenue, Circle Park Behavioral Health Services, Florence, SC 29502-6196 | 2006-01-24 |
| 1548392913 | Joseph E Mack | Counselor | 601 Gregg Avenue, Circle Park Behavioral Health Services, Florence, SC 29502-6196 | 2007-03-12 |
| 1386773141 | Natasha Page Cox | Counselor | 601 Gregg Avenue, Florence, SC 29502-6196 | 2007-03-05 |
| Find all providers in zip 29502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790144 | Southern Wellness Services, Inc. | Counselor | 2620 Hough Rd, Florence, AL 35630-1747 | 2016-10-05 |
| 1821544636 | Carla Mckenney | Counselor | 238 S Coit St, Florence, SC 29501-4422 | 2016-08-31 |
| 1255790556 | Stacy Freeman | Counselor | 4969 Highway 101 Unit 3, Florence, OR 97439-7803 | 2016-02-15 |
| 1982086617 | Senior Citizens Association In Florence County | Counselor | 600 Senior Way, Florence, SC 29505-6080 | 2015-06-18 |
| 1861883423 | Melissa Hardin | Counselor | 2809 W Mall Dr, Florence, AL 35630-1563 | 2015-02-17 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1184962029 | Virginia S. Singleton | Counselor | 1430 South Cashua Drive, Florence, SC 29501 | 2013-01-28 |
| 1043558091 | Richard Ray Mcbride | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-01-26 |
| 1639443344 | Tasha Lavon Hinson | Counselor | 604 Gregg Ave, Florence, SC 29501-4317 | 2012-02-27 |
| 1114233798 | Krista Leanne Jeffreys | Counselor | 215a Ana Dr, Florence, AL 35630-1749 | 2010-08-20 |
| Find all providers in FLORENCE | ||||
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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.