| Tara Martin, | |
|
980 Johnson Ferry Rd Ste 910, Sandy Springs, GA 30342-4768 | |
| (404) 303-3157 | |
| Not Available |
| Full Name | Tara Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 980 Johnson Ferry Rd Ste 910, Sandy Springs, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689295248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10653 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 367 |
| Entity Name | Southeast Medical Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Northside Surgical Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Martin, 980 Johnson Ferry Rd Ste 910, Sandy Springs, GA 30342-4768 Ph: (404) 303-3157 | Tara Martin, 980 Johnson Ferry Rd Ste 910, Sandy Springs, GA 30342-4768 Ph: (404) 303-3157 |
Caroline Wade Smith, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Sandy Springs, GA 30342 Phone: 404-785-5437 |
Deena Altman Spital, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5881 Glenridge Dr Ste 250, Sandy Springs, GA 30328 Phone: 770-370-7188 Fax: 770-370-7400 |
Emma Goldman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5730 Glenridge Dr Ste 100, Sandy Springs, GA 30328 Phone: 404-816-3000 |
Brian Davis, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Sandy Springs, GA 30342 Phone: 904-372-3943 |
Kaleigh Karl Holyfield, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6015 Roswell Rd Ste B, Sandy Springs, GA 30328 Phone: 678-710-3980 |
Elizabeth Alda Bennett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1003 Huntcliff Village Ct, Sandy Springs, GA 30350 Phone: 801-425-4730 |
Haley Alexandra Smith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Glenlake Pkwy, Sandy Springs, GA 30328 Phone: 404-365-0966 |