Martez Antonio Johnson

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

MARTEZ ANTONIO JOHNSON

Doing business as

Excelcare Rehabilitation Services

Practice address

3751 Bishop Ave
Jackson, MS 39213-5017

Phone

(601) 605-2313

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Martez Antonio Johnson

Title

Owner

Phone

(601) 605-2313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Excelcare Rehabilitation Services Doing business as

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1205075637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 BISHOP AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135017",
            "telephone_number": "601-605-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 BISHOP AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135017",
            "telephone_number": "601-605-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTEZ ANTONIO JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARTEZ",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-605-2313"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelcare Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gailen Daugherty Marshall, MD
• Helen M Marshall, F.N.P.
• Jyesha Marshall
• Lori Hill Marshall, M.D.
• Malik Marshall
• Brittney L Martin CPSS
• Martin Solution
• Zipora Martin-Brown, FNP-C
• Tanita Martin-Thames, LCSW
• Adrinnie M Martin

• Hearing and Speech Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Hearing and Speech Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.