Trista Jacinta Marshall, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

068927 Issued in GA

Practice address

3351 Northside Dr
Macon, GA 31210-2587

Phone

(478) 201-6500

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Medical College of Georgia School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Central Georgia RehabilitationGroup PAC ID 7012914310, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent at Home Home health agency, Macon, GA, CCN 117023
• Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
• Enhabit Home Health Home health agency, Macon, GA, CCN 117152
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Atrium Health Navicent Rehabilitation Hospital Inpatient rehabilitation facility, Macon, GA, CCN 113029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Services of Central Georgia, Inc

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482
  Medicare reassignment Care Compare group NPD
• Central Georgia Rehabilitation

  • Rehabilitation Hospital
  • Macon, GA
  • NPI 1366450710
  Medicare reassignment Care Compare group
• Community Primary Care of Georgia LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Gray, GA
  • NPI 1336492511
  Medicare reassignment NPD
• Optimus Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Macon, GA
  • NPI 1144609876
  NPD
• Affinis Hospice, LLC

  • Community Based Hospice Care Agency
  • Gray, GA
  • NPI 1326515719
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Macon, GA
  • NPI 1356399018
  Care Compare affiliation
• Caresouth HHA Holdings of Middle Georgia, LLC

  • Home Health Agency
  • Macon, GA
  • NPI 1972762599
  Care Compare affiliation
• Central Georgia Rehabilitation

  • Rehabilitation Hospital
  • Macon, GA
  • NPI 1366450710

  Inpatient rehabilitation facility

  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation
• The Medical Center of Central Georgia Inc.

  • Home Health Agency
  • Macon, GA
  • NPI 1831287655
  Care Compare affiliation

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1346484763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 CASTLEWOODS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041474",
            "telephone_number": "478-361-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102587",
            "telephone_number": "478-201-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TRISTA",
        "middle_name": "JACINTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "068927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "068927",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher G Markie, DAT, LAT, ATC, CES
• Amanda D Marler, CNM
• Clyde Danforth Marlow, DDS
• Kenia Y Marmol Mendoza
• Marquez Fallings Advocacy Center Inc
• Matthew Harrison Martell, DO
• Shelia D. Martin-Walker, BS, CAS
• Anthony Keith Martin, MD
• Brittney Martin, PHARM D
• Caroline M Martin, RD

• Physical Medicine & Rehabilitation Physician in Macon, GA
• Providers in Macon, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.