Active NPI
Michael C. Martin, PA-C
- Medical Physician Assistant
- Decatur, GA
National Provider Identifier
1023415528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 7437
- Practice address
- 315 W Ponce de Leon Ave Ste 110
Decatur, GA 30030-2441 - Phone
- (404) 537-2521
- NPI assigned
- Nov 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9109166 | FL | |
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 7437 | GA | Primary |
Addresses
Primary practice location
315 W Ponce de Leon Ave Ste 110
Decatur, GA 30030-2441
Mailing address
315 W Ponce de Leon Ave Ste 110
Decatur, GA 30030-2441
Phone (404) 537-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 W Ponce de Leon Ave
Suite 110
Decatur, GA 30030-2441
Phone (404) 537-2521
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109166 | FL | MD | Medical Physician Assistant |
| 7437 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9773/brand/1/csg/1/fhir/r4
- michael.martin.1@9773.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Primary Care Clinic/Center
- Decatur, GA
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-
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- NPI 1659966075
-
- Family Medicine Physician
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- NPI 1841800836
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Family Medicine Physician
- Austin, TX
- NPI 1366015794
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- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1023415528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W PONCE DE LEON AVE STE 110",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302441",
"telephone_number": "404-537-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W PONCE DE LEON AVE STE 110",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302441",
"telephone_number": "404-537-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MICHAEL",
"middle_name": "C.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-26",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9109166",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "7437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.