Active NPI
TM Martin Inc
- Surgical Physician Assistant
- Macon, GA
National Provider Identifier
1447376660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 000239
- Legal business name
- TM MARTIN INC
- Practice address
- 238 Wesley Cir
Macon, GA 31204-2458 - Phone
- (478) 972-7755
- Fax
- (478) 743-5544
- NPI assigned
- Mar 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terence Malloy Martin, PC-C
- Title
- Owner
- Phone
- (478) 743-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 000239 | GA | Primary |
Addresses
Primary practice location
238 Wesley Cir
Macon, GA 31204-2458
Mailing address
238 Wesley Cir
Macon, GA 31204-2458
Phone (478) 972-7755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447376660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 WESLEY CIR",
"city": "MACON",
"state": "GA",
"postal_code": "312042458",
"telephone_number": "478-972-7755",
"fax_number": "478-743-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 WESLEY CIR",
"city": "MACON",
"state": "GA",
"postal_code": "312042458",
"telephone_number": "478-972-7755",
"fax_number": "478-743-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TM MARTIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TERENCE",
"authorized_official_middle_name": "MALLOY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-743-4321",
"authorized_official_credential": "PC-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "000239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.