| Ernest C. Martin, M.d., P.a. | |
|
309 W Beltline Blvd North Hill Professional Park Anderson SC 29625-1505 | |
| (864) 261-9506 | |
| (864) 225-1134 |
| Full Name | Ernest C. Martin, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 309 W Beltline Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Ernest Cleage Martin (PSYCHIATRIST) |
| Authorized Official Contact | 8642619506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest C. Martin, M.d., P.a. 309 West Beltline Blvd North Hill Professional Park Anderson SC 29625-1505 Ph: (864) 261-9506 | Ernest C. Martin, M.d., P.a. 309 W Beltline Blvd North Hill Professional Park Anderson SC 29625-1505 Ph: (864) 261-9506 |
| NPI Number | 1871555896 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 5799764791 |
|---|---|
| Medicare Enrollment ID | O20040714000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871555896 | NPI | - | NPPES |
| GP3908 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15740 (South Carolina) | Primary |
| Provider Name | Ernest Cleage Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437176922 PECOS PAC ID: 3971582909 Enrollment ID: I20040714001227 |
| Provider Name | June L Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043568801 PECOS PAC ID: 4385871763 Enrollment ID: I20131210000705 |
| Provider Name | Carissa B Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861826190 PECOS PAC ID: 8527299437 Enrollment ID: I20140318000700 |
| Provider Name | Tracy D Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063826956 PECOS PAC ID: 4981821782 Enrollment ID: I20140818001639 |
| Provider Name | Heather Marshall Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165054 PECOS PAC ID: 0749613909 Enrollment ID: I20191203001028 |
| Provider Name | Tandi W. Fortier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205494580 PECOS PAC ID: 2769897321 Enrollment ID: I20210212002309 |
| Provider Name | Mary Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215637301 PECOS PAC ID: 8022465756 Enrollment ID: I20231116003390 |
| Provider Name | Rosaria L Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528426871 PECOS PAC ID: 1759732498 Enrollment ID: I20240108003407 |
| Provider Name | Susan Thrasher Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215991450 PECOS PAC ID: 7214322700 Enrollment ID: I20240124001447 |
| Provider Name | George L. Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588786073 PECOS PAC ID: 2163875626 Enrollment ID: I20240131003206 |
| Provider Name | Cadyn Liam Burnside |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356846877 PECOS PAC ID: 9537504303 Enrollment ID: I20240302000371 |
| Provider Name | Deundra T Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312517 PECOS PAC ID: 4880036730 Enrollment ID: I20240523003509 |
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