C H Martin Company

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

C H MARTIN COMPANY

Practice address

101 Devant St
Suite 402
Fayetteville, GA 30214-2713

Phone

(770) 719-3110

Fax

(770) 719-3109

NPI assigned

Mar 5, 2007

Organization subpart

Yes

Parent organization

C H MARTIN COMPANYAs reported in NPPES

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

Authorized official

Name

Ms. Doris Wilkes

Title

Authorized Official

Phone

(478) 224-1061

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• C H Martin Company

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
  • NPI 1245215367

  0648397075

  Same PAC ID
• C H Martin Company

  • Prosthetic/Orthotic Supplier
  • Marietta, GA
  • NPI 1427187558

  0648397075

  Same PAC ID
• C H Martin Company

  • Prosthetic/Orthotic Supplier
  • Suwanee, GA
  • NPI 1790814853

  0648397075

  Same PAC ID

Part of

C H Martin Company

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1811026958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131600",
            "telephone_number": "404-525-1533",
            "fax_number": "404-525-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 402",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142713",
            "telephone_number": "770-719-3110",
            "fax_number": "770-719-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H MARTIN COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C H  MARTIN COMPANY",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-224-1061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00039531B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00039531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura P Bush, P.A.
• Jacob Byrd, RRT
• Linda W. Byrd, NP
• Byron F Harper III MD PC
• C & G Medical Supply LLC
• Denny Cabo, FNP
• Gina Lee Cabrera-Benson, M.A., CCC-SLP
• Debbra Holder Caddell, LMT
• McArthur Cadet, MD
• Caedel Wellness Center

• Prosthetic/Orthotic Supplier in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.