Organization Active NPI

TM Martin Inc

  • Surgical Physician Assistant
  • Macon, GA
National Provider Identifier
1447376660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
000239 Issued in GA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.