Marathon Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARATHON HEALTH LLC

Practice address

1800 E County Lane Rd
Ridgeland, MS 39157

Phone

(601) 957-7777

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

Karla Spivey

Title

Implementation and Onboarding Coord

Phone

(317) 869-3164

Specialties & licenses 1

Addresses

Other names 1

• Southern Farm Bureau Casualty Marathon Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Marathon Health LLC130 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Marathon Health LLC

  • Primary Care Nurse Practitioner
  • Tupelo, MS
  • NPI 1124989520
  NPD tax ID
• Marathon Health LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1891543252
  NPD tax ID

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1689423964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "317-869-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E COUNTY LANE RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-957-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "IMPLEMENTATION AND ONBOARDING COORD",
        "authorized_official_telephone_number": "317-869-3164"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Farm Bureau Casualty Marathon Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarah Aurelia Mannery, OTR/L, MS
• Joanna Manning, SLP
• Phylicia Manogin, OT
• Stacy Whited Mansell, PT
• Isabella Manuel
• Jillian Mars, PT
• Carey L Marsalis, OT
• Ashley M Marshall, OT
• Stefanie L Martel, OTR/L
• Chelsea Martin, NP

• Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.