Active NPI
Sandra Marmann, MD
- Pain Medicine Physician
- Covington, GA
National Provider Identifier
1043881113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 685479545
- Practice address
- 9156 Jefferson Village Dr SW
Covington, GA 30014-6726 - Phone
- (470) 782-2785
- Fax
- (678) 953-1573
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 7652589 | GA | |
| Pain Medicine Physician | 208VP0000X | 685479545 | GA | Primary |
Addresses
Primary practice location
9156 Jefferson Village Dr SW
Covington, GA 30014-6726
Mailing address
9156 Jefferson Village Dr SW
Covington, GA 30014-6726
Phone (470) 782-2785
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Acesleezo@icloud.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 685479545 | GA | MD | Pain Medicine Physician |
| 7652589 | GA | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1043881113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9156 JEFFERSON VILLAGE DR SW",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300146726",
"telephone_number": "470-782-2785",
"fax_number": "678-953-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9156 JEFFERSON VILLAGE DR SW",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300146726",
"telephone_number": "470-782-2785",
"fax_number": "678-953-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMANN",
"first_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "7652589",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "685479545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Acesleezo@icloud.com",
"affiliation": "N",
"endpointDescription": "Acesleezo@icloud.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9156 Jefferson Village Dr SW",
"city": "Covington",
"state": "GA",
"country_code": "US",
"postal_code": "300146726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.