Clements Professional Association Pine Mountain

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLEMENTS PROFESSIONAL ASSOCIATION PINE MOUNTAIN

Practice address

211 East Broad St
Pine Mountain, GA 31822-0516

Phone

(706) 663-2574

Fax

(706) 663-5954

NPI assigned

Oct 1, 2007

Last updated

Jan 24, 2013By 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

Martha D Clements, MD

Title

VP Sec Tres and MD

Phone

(706) 663-2574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1801083134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318220516",
            "telephone_number": "706-663-2574",
            "fax_number": "706-663-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST BROAD ST",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318220516",
            "telephone_number": "706-663-2574",
            "fax_number": "706-663-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS PROFESSIONAL ASSOCIATION PINE MOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP SEC TRES AND MD",
        "authorized_official_telephone_number": "706-663-2574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond A Bedgood, M.D.
• Jennifer Anne Brannin, MPT
• Alex Bryant
• Chattahoochee Valley Hospital Society (Lanier Home Health Services)
• Mack H Clements, MD
• William M. Couch, D.D.S.
• Jane Bradley Crane, P.T.
• Steve Earles, LMT
• Enoch Ministries

• General Practice Physician in Pine Mountain, GA
• Providers in Pine Mountain, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.