Active NPI
C H Martin Company
- Prosthetic/Orthotic Supplier
- Dublin, GA
National Provider Identifier
1154450252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- C H MARTIN COMPANY
- Practice address
- 220 Industrial Blvd
Suite D
Dublin, GA 31021-9057 - Phone
- (478) 275-9444
- Fax
- (478) 275-1089
- NPI assigned
- Mar 5, 2007
- Organization subpart
- Yes
- Parent organization
- C H MARTIN COMPANY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Doris Wilkes
- Title
- Authorized Official
- Phone
- (478) 224-1061
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
220 Industrial Blvd
Suite D
Dublin, GA 31021-9057
Mailing address
329 Marietta St NW
Atlanta, GA 30313-1600
Phone (404) 525-1533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00039476A | Medicaid | GA | |
| 00339476B | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- C H Martin Company
Locations
220 Industrial Blvd
Ste D
Dublin, GA 31021
Phone (478) 275-9444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1154450252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 MARIETTA ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131600",
"telephone_number": "404-525-1533",
"fax_number": "478-738-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 INDUSTRIAL BLVD",
"address_2": "SUITE D",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310219057",
"telephone_number": "478-275-9444",
"fax_number": "478-275-1089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C H MARTIN COMPANY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "C H MARTIN COMPANY",
"enumeration_date": "2007-03-05",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "WILKES",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "478-224-1061",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00039476A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00339476B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.