Martin Army Hospital

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

01807 Issued in GA

Legal business name

MARTIN ARMY HOSPITAL

Practice address

TMC #5, 11TH Airborne Division Road
Ft. Benning, GA 31901

Phone

(706) 544-9426

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Kelly Smith Jr., PA

Title

Physician Assistant

Phone

(706) 544-9426

Specialties & licenses 1

Addresses

Other names 1

• MEDDAC Other name

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770664849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 PRESTON DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TMC #5, 11TH AIRBORNE DIVISION ROAD",
            "city": "FT. BENNING",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-544-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "706-544-9426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "GA",
            "license": "01807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDDAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martin Army Community Hospital
• Martin Army Community Hospital
• Martin Army Community Hospital
• Martin Army Community Hospital
• Martin Army Community Hospital
• Peter Mateus, PA-C
• Desiree Maxey
• Sharon A. Maxwell, MD
• Atia Mbah, FNP
• Charles McAdams, PA-C

• Military Hospital in Ft. Benning, GA
• Providers in Ft. Benning, GA by specialty
• Military Hospital in Georgia

• 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.