Active NPI
Cecily Cole Martin, M.D.
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME177166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- HCA Florida Lawnwood Hospital
- HCA Florida West Hospital
- Adventhealth New Smyrna Beach
- Adventhealth Heart of Florida
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME177166 | FL | MD | Neurology Physician |
| 054983 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| DCHD Health Care Professionals LLC | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Cartersville Neurology, P.C. | Neurology | Current | Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| Virtual Neurology Kansas, LLC | Neurology | Current | 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
- 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.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.