Jenelle Martin, M.D., P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

034660 Issued in GA

Legal business name

JENELLE MARTIN, M.D., P.C.

Practice address

3469 Lawrenceville Hwy
Suite 103
Tucker, GA 30084-5888

Phone

(770) 638-1960

Fax

(770) 638-1961

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jenelle Martin, M.D.

Title

Psychiatrist/President

Phone

(770) 638-1960

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Turnisha Monique Carter, PMHNP

  • Registered Nurse
  • Tucker, GA
  • NPI 1114389392
  NPD (past)
• Ola Jenelle Martin, MD

  • Psychiatry Physician
  • Tucker, GA
  • NPI 1366547002
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1710239942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871133",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870029",
            "telephone_number": "770-638-1960",
            "fax_number": "770-638-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 LAWRENCEVILLE HWY",
            "address_2": "SUITE 103",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845888",
            "telephone_number": "770-638-1960",
            "fax_number": "770-638-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENELLE MARTIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "PSYCHIATRIST/PRESIDENT",
        "authorized_official_telephone_number": "770-638-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "034660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley John Jagielski, M.D.
• James E. Dopson, M.D.
• James H Dew Jr MD PC
• Jasmine Primm
• Laurie Marchele Jean-Baptiste, FNP-C
• Jill C Jenkins, LCSW
• Danny Jeon, DMD
• Jessica M Ringsmuth LLC
• Everett Jewett
• Paul Joe, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tucker, GA
• Providers in Tucker, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.