Individual provider Active NPI

Macole Joi Martin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1073224630
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5023749 Issued in NC
Practice address
611 Church St N
Concord, NC 28025-4322
Phone
(704) 963-9270
Fax
(704) 963-9038
NPI assigned
Dec 5, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-81875-062 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023749 NC Primary

Addresses

Primary practice location

611 Church St N
Concord, NC 28025-4322

Mailing address

611 Church St N
Concord, NC 28025-4322
Phone (704) 963-9270

Other practice location 1

401 10th St Ste B
North Wilkesboro, NC 28659-4113
Phone (336) 667-1140

Other practice location 2

117 Fuchia Ln
Lincolnton, NC 28092-4287
Phone (704) 520-3620

Other practice location 3

310 Statesville Blvd Ste 1
Salisbury, NC 28144-2368
Phone (704) 637-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127000561 NC Practitioner - Nurse Practitioner 7113384421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rowan Psychiatric and Medical Services PAGroup PAC ID 1557542123, 10 clinicians

Practice addresses (Care Compare)

117 Fuchia LN
Lincolnton, NC 28092-4287
Phone (704) 520-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81875-062KSMDPsychiatric/Mental Health Nurse Practitioner
5023749NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Psychiatric and Medical Services PA CurrentSince Jan 8, 2026 Accepting new patients

Locations

611 Church St N
Concord, NC 28025
Phone (704) 262-3806

117 Fuchia Ln
Lincolnton, NC 28092
Phone (704) 520-3620

401 10th St
Ste B
North Wilkesboro, NC 28659
Phone (336) 667-1140

310 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 637-1888

1216 School St
Ste B
Wilkesboro, NC 28697
Phone (336) 667-1140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1073224630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254322",
            "telephone_number": "704-963-9270",
            "fax_number": "704-963-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254322",
            "telephone_number": "704-963-9270",
            "fax_number": "704-963-9038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 10th St Ste B",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594113",
            "country_code": "US",
            "telephone_number": "336-667-1140",
            "fax_number": "336-667-1051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Fuchia Ln",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924287",
            "country_code": "US",
            "telephone_number": "704-520-3620",
            "fax_number": "704-520-3660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Statesville Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442368",
            "country_code": "US",
            "telephone_number": "704-637-1888",
            "fax_number": "704-637-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MACOLE",
        "middle_name": "JOI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81875-062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.