Martha D Clements (NPI# 1205836350, PAC ID# 1850473422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1205836350 |
| PAC ID by PECOS | 1850473422 |
| Professional Enrollment ID | I20080205000203 |
| Full Name | Martha D Clements |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
454 Lagrange St Greenville GA 30222-1303 |
| Phone Number | 7068807222 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1966 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| 110129 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 454 Lagrange St, Greenville, GA 30222-1303 | 7068807222 | WELLSTAR MEDICAL GROUP, LLC |
| 211 E Broad St, Pine Mountain, GA 31822-7700 | 7068807222 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
454 LAGRANGE ST |
| City | GREENVILLE |
| State | GA |
| Zip | 30222-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mack H Clements | Family Medicine | Wellstar Medical Group, LLC | 454 Lagrange St, Greenville, GA 30222-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia C Ubani-ebere | Internal Medicine | 7007 C Williams St, Greenville, GA 30222-1354 | |
| Allen Lavender Jr. | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Franchon R Scales | Physician Assistant | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Nicole D Knight | Nurse Practitioner | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Ranga P Rao | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Rugiatu Bahr | Nurse Practitioner | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| City | GREENVILLE |
| Zip Code | 30222 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | GREENVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Martha D Clements.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.