Active NPI
Pamela Denise Martin, LPN
- Licensed Practical Nurse
- College Park, GA
National Provider Identifier
1245303817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P029723
- Practice address
- 1920 John Wesley Ave
College Park, GA 30337 - Phone
- (404) 765-4149
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P029723 | GA | Primary |
Addresses
Primary practice location
1920 John Wesley Ave
College Park, GA 30337
Mailing address
99 Jesse Hill Jr Drive SE
Room 402
Atlanta, GA 30303
Phone (404) 730-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P029723 | GA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245303817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JESSE HILL JR DRIVE SE",
"address_2": "ROOM 402",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-730-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 JOHN WESLEY AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "30337",
"telephone_number": "404-765-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PAMELA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "P029723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
- Loving Hearts Homecare and Nurse Advocate Services,LLC
- Mannie Lowery Jr., DC
- Karen Yvonne Luster, M.D.
- Nancy Cox Marks, R.D.
- Ajelique Martin-Marietta
- Beverly Jean Marzell, PATIENT CARE TECH
- Shantrell Mathis, PHLEBOMIST
- Maxim Healthcare Services, Inc.
- Kayla D McCray, NP
- Darlene McCullough, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.