Active NPI
C H Martin Company
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1245215367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- C H MARTIN COMPANY
- Practice address
- 329 Marietta St NW
Atlanta, GA 30313-1600 - Phone
- (404) 525-1533
- NPI assigned
- Dec 12, 2005
- 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
- Mr. Neal Counts, C.O.
- Title
- Chief Executive Officer
- Phone
- (404) 525-1533
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
329 Marietta St NW
Atlanta, GA 30313-1600
Mailing address
329 Marietta St NW
Atlanta, GA 30313-1600
Phone (404) 525-1533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00039531A | Medicaid | GA | |
| 00039531B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050857 | GA | DME Supplier - Orthotic Personnel | 0648397075 |
1 other NPI on this enrollment Practice locations: Atlanta, GA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- C H Martin Company
- Part of
- C H Martin Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Suwanee, GA
- NPI 1790814853
Locations
2395 Wall St SE
Ste 180
Conyers, GA 30013
Phone (770) 761-7668
345 Peachtree Industrial Blvd
Suwanee, GA 30024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295308800000",
"number": "1245215367",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 MARIETTA ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131600",
"telephone_number": "404-525-1533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C H MARTIN COMPANY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "C H MARTIN COMPANY",
"enumeration_date": "2005-12-12",
"last_updated": "2011-01-18",
"status": "A",
"authorized_official_last_name": "COUNTS",
"authorized_official_first_name": "NEAL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "404-525-1533",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.O."
},
"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": "00039531A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00039531B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.