Martin Family Healthcare LLC.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000001100 Issued in TN

Legal business name

MARTIN FAMILY HEALTHCARE LLC.

Practice address

120 Market St.
Red Boiling Springs, TN 37150

Phone

(615) 699-4035

Fax

(615) 699-4055

NPI assigned

Sep 30, 2008

Last updated

Oct 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea L. Martin, PA-C

Title

Physician Asst./Owner

Phone

(615) 699-4035

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea L. Martin-Willie, PA-C

  • Medical Physician Assistant
  • Gallatin, TN
  • NPI 1578604963
  NPD

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1295985992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 425",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "37150",
            "telephone_number": "615-699-4035",
            "fax_number": "615-699-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARKET ST.",
            "city": "RED BOILING SPRINGS",
            "state": "TN",
            "postal_code": "37150",
            "telephone_number": "615-699-4035",
            "fax_number": "615-699-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN ASST./OWNER",
        "authorized_official_telephone_number": "615-699-4035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Faylene McGee Hagan, RBT
• Benita Gail Hudson, MSOTR/L, PTA
• Lanny R Hudson, D PH
• Longevity Clinical LTC Associates of Tennessee, PLLC
• Macon Care Center LLC
• Eric Justin McGriff, PTA
• Amanda Lynn Mitchell, RN
• Palace RBS LLC (The Palace Health Care and Rehabilitation Center)
• Red Boiling Springs TN Opco LLC (The Palace Healthcare and Rehabilitation Center)
• Phillip Scott Ross, P.T.

• Medical Physician Assistant in Red Boiling Springs, TN
• Providers in Red Boiling Springs, TN by specialty
• Medical Physician Assistant in Tennessee

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