Individual provider Active NPI

Fonda D Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Brookhaven, GA
National Provider Identifier
1104187046
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14590-320 Issued in WI
Practice address
2970 Clairmont Rd NE Ste 903
Brookhaven, GA 30329-4402
Phone
(404) 334-0003
Fax
(404) 334-0224
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 67101 GA
Obstetrics & Gynecology Physician 207V00000X 67101 GA
Obstetrics & Gynecology Physician 207V00000X 14590-320 WI Primary

Addresses

Primary practice location

2970 Clairmont Rd NE Ste 903
Brookhaven, GA 30329-4402

Mailing address

2970 Clairmont Rd NE Ste 903
Brookhaven, GA 30329-4402
Phone (404) 334-0003

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other names 1

  • Dr. Fonda D Webb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, WI, KY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151215002371 GA Practitioner - Obstetrics/Gynecology 9638470776 Reassigns benefits to 1 organization
I20241213002519 WA Practitioner - Obstetrics/Gynecology 9638470776 Reassigns benefits to 1 organization
I20260121001253 WI Practitioner - Obstetrics/Gynecology 9638470776 Reassigns benefits to 9 organizations
I20260501001191 KY Practitioner - Obstetrics/Gynecology 9638470776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

3920 Capital Mall Dr SW
Suite 201
Olympia, WA 98502-8702
Phone (360) 706-6280

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

833 Campbell Hill N W St
Suite 400
Marietta, GA 30060-1147
Phone (770) 528-0260

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14590-320WIMDObstetrics & Gynecology Physician
67101GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Nov 20, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Boutiquegyn Wellness Center Gynecology Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Wellstar Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 16, 2015 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 16, 2015 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Memorial Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 26, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 26, 2026 Accepting new patients

Locations

2970 Clairmont Rd NE
Ste 903
Brookhaven, GA 30329
Phone (404) 334-0003

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

833 Campbell Hill St NW
Ste 400
Marietta, GA 30060
Phone (770) 528-0260

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: fonda.martin@335000925634564.direct.elationemr.com
  • Direct secure messaging: fmartin116038@directwellstar.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1104187046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 CLAIRMONT RD NE STE 903",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303294402",
            "telephone_number": "404-334-0003",
            "fax_number": "404-334-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 CLAIRMONT RD NE STE 903",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303294402",
            "telephone_number": "404-334-0003",
            "fax_number": "404-334-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "FONDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "67101",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67101",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "14590-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FONDA",
            "last_name": "WEBB",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.