Mia Courtney Martin, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4005 Sawmill Trace Dr
Charlotte, NC 28213-4860

Phone

(301) 803-9465

NPI assigned

Oct 10, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Windfall Speech & Language Services PLLC

  • Hearing and Speech Clinic/Center
  • Charlotte, NC
  • NPI 1306590153
  Medicare reassignment NPD Authorized official
• Speechcenter LLC, D/B/a Sidekick Therapy Partners

  • Speech-Language Pathologist
  • Winston Salem, NC
  • NPI 1306840251
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1134556996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 SAWMILL TRACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134860",
            "telephone_number": "301-803-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 SAWMILL TRACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134860",
            "telephone_number": "301-803-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIA",
        "middle_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A. Martin, CRNA
• Mary Beth Martin, N.P.
• Matty Martin
• Melissa Martin, TRICHOLOGIST
• Merrill Martin, OTR/L
• Michael J Martin, M.D.
• Monet Janlaney Martin
• Nichole Lilliam Martin, DMD
• Rachel Merritt Martin, MSW, LCSW
• Rikki Jeanne Martin, LCSW

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.