Marathon Health LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MARATHON HEALTH LLC

Practice address

1804 S Green St
Tupelo, MS 38804-6504

Phone

(812) 371-5762

NPI assigned

Nov 24, 2025

Organization subpart

Yes

Parent organization

MARATHON HEALTH LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Van Every

Title

Manager

Phone

(408) 406-9645

Specialties & licenses 1

Addresses

Tax ID family

Marathon Health LLC130 organizations share this tax ID, including this one

Part of

Marathon Health LLC

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Marathon Health LLC

  • Clinic/Center
  • Ridgeland, MS
  • NPI 1689423964
  NPD tax ID
• Marathon Health LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1891543252
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1124989520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046504",
            "telephone_number": "812-371-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046504",
            "telephone_number": "812-371-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH LLC",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "VAN EVERY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-406-9645"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ashmore Maltby, M.D.
• Emilee Rae Manahan
• Cohra Colleen Mankey, M.D.
• James Manley
• Dana S Mann, CRNA
• Rosemary Marecle, FNP,C
• Laura L Marion, M.D.
• Mark Devin Shepherd
• Mary Virginia Mark, RD, LD, CDE
• Tyler G. Marks, MD

• Primary Care Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.