Marathon Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARATHON HEALTH LLC

Doing business as

Mississippi Farm Bureau Marathon Health Center

Practice address

6311 Ridgewood Rd Ste 401
Jackson, MS 39211-2035

Phone

(866) 275-7322

NPI assigned

May 10, 2024

Last updated

Jun 9, 2024By 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

Karla Spivey

Title

Implementation and Onboarding Coord

Phone

(317) 869-3164

Specialties & licenses 1

Addresses

Other names 1

• Mississippi Farm Bureau Marathon Health Center Doing business as

Tax ID family

Marathon Health Inc166 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

  dba Southern Farm Bureau Casualty Marathon Health Center

  • Clinic/Center
  • Ridgeland, MS
  • NPI 1689423964
  NPD tax ID

Locations

Practitioners 1

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.

• Caryl P. Sumrall, FNP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1003840646
  NPD (past)

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1891543252",
    "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": "6311 RIDGEWOOD RD STE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112035",
            "telephone_number": "866-275-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Farm Bureau Marathon Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mississippi Farm Bureau Marathon Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laronda Lasha Manuel
• Jeffrey Michael Manzano Aquino, M.D.
• John Douglas Maples, M.D.
• Nathan Dudley Maples, M.D.
• Meikai Mapp-Davis, CMA
• Cheryl Ann Marble, CRNA
• Mark Marble, CTRS
• David C Marbury, M.D.
• Harvey William Marcellus, PA-C
• Dennis Ryan Marcelo, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.