CAROL D MARTIN


Address: 1265 Highway 54 W, Suite 409, Fayetteville, GA 30214-4548
Phone: 6788176505

CAROL D MARTIN (NPI# 1184868796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184868796
Entity Type Individual
Full Name CAROL D MARTIN
Credential NP
Practice Address 1265 Highway 54 W
Suite 409
Fayetteville
GA 30214-4548
Mailing Address 95 Collier Rd Nw
Suite 4075
Atlanta
GA 30309-1796
Practice Telephone 6788176505
Mailing Telephone 4046033543
Mailing Fax Number 4043508795
Enumeration Date 2009-04-27
Last Update Date 2009-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN072776 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CAROL MARTIN

NPI Name Taxonomy Address Enumeration
1245696491 Carol Anne Martin Nurse Practitioner 617 Cambridge St, Boston, MA 02134-2460 2016-01-04
1003289273 Carol Martin Dental Hygienist 22 Laurie Ln, Lititz, PA 17543-8106 2015-11-09
1336447366 Carol Joan Martin Physical Therapist 68 School Dr, Central Square, NY 13036-3514 2011-02-28
1083933816 Carol Ann Martin Behavioral Analyst 3108 W Pinhook Rd Fl 2, Lafayette, LA 70508-3442 2010-05-18
1134347347 Carol Reyburn Martin Internal Medicine 10017 Park Royal Dr, Great Falls, VA 22066-1847 2007-04-23
1598804973 Carol Ennis Martin Nurse Practitioner The Kentucky Clinic Wing D J252, 740 S. Limestone, Lexington, KY 40536 2007-02-05
1215910344 Carol Ann Martin Psychiatry & Neurology 1220 Se Maynard Rd, Ste 102, Cary, NC 27511 2005-11-22
1992150924 Carol Elizabeth Martin Psychologist 121 Shiloh Rd, Asheville, NC 28803-1626 2016-04-27
1114258407 Carol Lynn Martin Occupational Therapy Assistant 6011 Se Tower Dr, Stuart, FL 34997-7615 2010-01-26
1144471251 Carol Martin Speech-Language Pathologist 100 Pinecrest Dr, Pineville, LA 71360-4276 2008-10-07

Office Location

Street Address 1265 HIGHWAY 54 W
SUITE 409
City FAYETTEVILLE
State GA
Zip Code 30214-4548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053315820 John E Burney Internal Medicine 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 2005-06-09
1417314527 Amanda Murphy Specialist/Technologist 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 2016-01-20
1366854077 Kimberly Michelle Diprima Physician Assistant 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 2014-05-29
1710248901 Mandy G Osburn Physical Therapist 1265 Highway 54 W, Suite 102 & 308, Fayetteville, GA 30214-4548 2012-06-04
1104190990 Jarryd A Jackson Pharmacist 1265 Highway 54 W, Suite #201, Fayetteville, GA 30214-4548 2012-02-27
1265704860 Veketa Harris Smith Physician Assistant 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 2012-01-30
1215225560 Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered 1265 Highway 54 W, Fayetteville, GA 30214-4548 2011-07-20
1881982817 Ford H Cooper Physical Therapist 1265 Highway 54 W, Suite 308, Fayetteville, GA 30214-4548 2011-07-12
1518283308 Ameera Waseem Siddiqi Internal Medicine 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 2010-04-19
1316263494 Ashlea Lakesha Cannon Physician Assistant 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 2010-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326659798 Derek Miles Anderson Nurse Practitioner 545 Woodward Dr, Fayetteville, GA 30215-7641 2020-08-11
1376167163 Shatanya Monique Cook Nurse Practitioner 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 2020-06-08
1063058972 Mardee L Baxley Nurse Practitioner 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 2019-11-26
1336781715 Anna Brooks Maness Reed Nurse Practitioner 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 2019-10-17
1801362355 Dawn Stone Nurse Practitioner 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 2018-10-22
1902385784 Yasmin Mathlin Nurse Practitioner 641 Walker St, Fayetteville, NC 28311-1990 2018-08-12
1144731951 Kelli Borland Nurse Practitioner 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 2017-10-19
1134639867 Jeanne Marie Lythgoe Nurse Practitioner 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 2017-10-09
1174048037 Sharon Davinroy Nurse Practitioner 315 Sparrow Dr, Fayetteville, NC 28306-8227 2017-08-11
1609302868 Rose M Graham Nurse Practitioner 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 2017-05-10
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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