Active NPI
Jillian Martell
- Social Worker
- Thomasville, GA
National Provider Identifier
1306696265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW011271
- Practice address
- 4686 US 84 Byp W
Thomasville, GA 31792-2639 - Phone
- (229) 413-1710
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW011271 | GA | Primary |
Addresses
Primary practice location
4686 US 84 Byp W
Thomasville, GA 31792-2639
Mailing address
252 Woodlands Blvd # 1659
Thomasville, GA 31792-3200
Phone (229) 225-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1306696265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 WOODLANDS BLVD # 1659",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317923200",
"telephone_number": "229-225-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4686 US 84 BYP W",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317922639",
"telephone_number": "229-413-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW011271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
- Catherine Marchant, LCSW
- Luis Rafael Marin Guillent, PA
- Mark G. Wood M.D. (Southwest Georgia Nephrology & Hypertension Center)
- Adam Thomas Marler, MD
- Andre Hadley Marria, LPC, CPCS
- Matthew Moree DMD, LLC
- Madison Grace Maxwell, NP
- Robert Maxwell, M.D.
- Amanda D. May, MD
- Christine Marie Mayer, M.A., L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.