Audie B Marlar Jr., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00127 Issued in TN

Practice address

117 Kennedy Dr
Martin, TN 38237-3309

Phone

(731) 587-9511

Fax

(731) 587-0785

NPI assigned

Jun 10, 2005

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Martin Clinic Corp

  • Family Medicine Physician
  • Martin, TN
  • NPI 1568465102
  NPD (past)
• The Sharon Clinic, PLLC

  • Medical Physician Assistant
  • Sharon, TN
  • NPI 1831242155
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1447254164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-9511",
            "fax_number": "731-587-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-9511",
            "fax_number": "731-587-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLAR",
        "first_name": "AUDIE",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "00127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Duncan Lund, M.D.
• Gurpreet Machra, M.D.
• Jami L Maddox, C.N.M.
• Katherine Anne Malik
• Lori Abbott Manley, OT
• Martin Anesthesia Group Inc
• Martin Children's Clinic, LLC
• Martin Clinic Corp
• Martin Clinic Corp (Rural Health Associates of NW TN)
• Martin Health (West Tennessee Healthcare Volunteer Hospital Pharmacy)

• Family Medicine Physician in Martin, TN
• Providers in Martin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.