Constance Bargeron Martin, RN, BS

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

RN051159 Issued in GA

Practice address

1280 Athens St
Gainesville, GA 30507-7000

Phone

(770) 718-5084

Fax

(770) 535-5958

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1053598730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077000",
            "telephone_number": "770-718-5084",
            "fax_number": "770-535-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077000",
            "telephone_number": "770-718-5084",
            "fax_number": "770-535-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CONSTANCE",
        "middle_name": "BARGERON",
        "name_prefix": "Mrs.",
        "credential": "RN, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "GA",
            "license": "RN051159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Philip Marler, MD
• Teresa Marlow, LPC
• Veronica Marquez de Salcedo
• Kimbery Susan Marryott Lee, P.T., DHS
• Eric A Marsh, MD
• Gregory S. Martin, MD
• James Keith Martin, CAA
• Janice Louise Martin, MS-CCC/SLP
• Jenna Martin, AGACNP
• Lee A Martin Jr., M.D.

• State or Local Public Health Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• State or Local Public Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.