Active NPI
Frederick Oneal Martin Jr.
- Home Health Aide
- McDonough, GA
National Provider Identifier
1174278022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 305 Mango CT
McDonough, GA 30253-8384 - Phone
- (817) 707-4529
- NPI assigned
- Feb 18, 2022
- Last updated
- Feb 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | GA | Primary |
Addresses
Primary practice location
305 Mango CT
McDonough, GA 30253-8384
Mailing address
305 Mango CT
McDonough, GA 30253-8384
Phone (817) 707-4529
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Family Care LLC | Current | Accepting new patients | |
| Enhanced Famiy Care LLC | Current | Accepting new patients | |
| PMS Pro LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- McDonough, GA
- NPI 1104573203
-
- Home Health Agency
- McDonough, GA
- NPI 1164171575
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1548050958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1174278022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MANGO CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538384",
"telephone_number": "817-707-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MANGO CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538384",
"telephone_number": "817-707-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "FREDERICK",
"middle_name": "ONEAL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.