Individual provider Active NPI

Cecily Cole Martin, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1154472314
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME177166 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME177166 FL Primary
Neurology Physician 2084N0400X 054983 GA

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1717
Phone (404) 364-7070

Other practice location 1

2400 Mount Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236
Phone (770) 862-6146

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI, OH, ND, NH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040824000663 GA Practitioner - Neurology 7416921564 Reassigns benefits to 7 organizations
I20250716004286 MI Practitioner - Neurology 7416921564 Reassigns benefits to 1 organization
I20260225002684 OH Practitioner - Neurology 7416921564 Reassigns benefits to 1 organization
I20260225003634 ND Practitioner - Neurology 7416921564 Reassigns benefits to 1 organization
I20260319001657 NH Practitioner - Neurology 7416921564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology PCGroup PAC ID 4981087897, 57 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

5400 Stone Croft TRL SW
Atlanta, GA 30331-8900
Phone (239) 208-2212

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 788-1010

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME177166FLMDNeurology Physician
054983GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Association Neurology CurrentSince Mar 1, 2026 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Oct 4, 2010 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 1, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 1, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Jun 30, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Feb 11, 2026 Accepting new patients
Altru Health System CurrentSince Feb 8, 2026 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Aug 18, 2025 Accepting new patients
Concord Hospital-Laconia CurrentSince Feb 11, 2026 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Sep 15, 2025 Accepting new patients
Altru Health System CurrentSince Feb 8, 2026 Accepting new patients
Cartersville Neurology, P.C. Neurology CurrentSince Apr 1, 2007 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Aug 1, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Jan 14, 2026 Accepting new patients
Upson Medical Associates LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

100 Market Place Blvd
Ste 302
Cartersville, GA 30121
Phone (470) 790-2008

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

7444 Hannover Pkwy S
Ste 210
Stockbridge, GA 30281
Phone (770) 741-1750

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Interoperability endpoints

  • Direct secure messaging: cmartin3040832@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1154472314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "404-364-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Mount Zion Parkway",
            "address_2": "Kaiser Permanente Southwood Medical Center",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "30236",
            "country_code": "US",
            "telephone_number": "770-862-6146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CECILY",
        "middle_name": "COLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME177166",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "054983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2400 Mount Zion Parkway",
            "address_2": "Kaiser Permanente Southwood Medical Center",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.