Active NPI
Sara Gelson Martin, CNNP
- Neonatal Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1245315118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- RN169382 NP
- Practice address
- 1762 Clifton Rd NE Ste 103
Emory University
Atlanta, GA 30322-4001 - Phone
- (404) 686-8136
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | RN169382 NP | GA | Primary |
Addresses
Primary practice location
1762 Clifton Rd NE Ste 103
Emory University
Atlanta, GA 30322-4001
Mailing address
965 Soaring Way
Marietta, SC 30062
Phone (770) 423-0029
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169382 NP | GA | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245315118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 SOARING WAY",
"city": "MARIETTA",
"state": "SC",
"postal_code": "30062",
"telephone_number": "770-423-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 CLIFTON RD NE STE 103",
"address_2": "EMORY UNIVERSITY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224001",
"telephone_number": "404-686-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SARA",
"middle_name": "GELSON",
"name_prefix": "Mrs.",
"credential": "CNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "GA",
"license": "RN169382 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
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.