Organization Active NPI

C H Martin Company

  • Prosthetic/Orthotic Supplier
  • Conyers, GA
National Provider Identifier
1255460341
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
C H MARTIN COMPANY
Practice address
2395 Wall Street, Suite 180
Conyers, GA 30013
Phone
(770) 761-7668
Fax
(770) 602-4316
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
C H MARTIN COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2395 Wall Street, Suite 180
Conyers, GA 30013

Mailing address

329 Marietta St NW
Atlanta, GA 30313-1600
Phone (404) 525-1533

Other identifiers 2

IdentifierTypeStateIssuer
00039531BMedicaidGA
00039531AMedicaidGA

National Provider Directory

National Provider Directory
Part of
C H Martin Company

Locations

329 Marietta St NW
Atlanta, GA 30313
Phone (404) 525-1533

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": "1488844800000",
    "number": "1255460341",
    "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": "404-525-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WALL STREET, SUITE 180",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-761-7668",
            "fax_number": "770-602-4316"
        }
    ],
    "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": "2017-03-07",
        "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": "00039531B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00039531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.