Individual provider Active NPI

Cecile Ann Martin, FNP-BC

  • Family Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1326246158
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN147388 NP Issued in GA
Practice address
4245 Johns Creek Pkwy
Suite a
Johns Creek, GA 30024-9121
Phone
(678) 990-3962
Fax
(678) 840-3777
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN147388 NP GA Primary

Addresses

Primary practice location

4245 Johns Creek Pkwy
Suite a
Johns Creek, GA 30024-9121

Mailing address

4245 Johns Creek Pkwy
Suite a
Johns Creek, GA 30024-9121
Phone (678) 990-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000484 GA Practitioner - Nurse Practitioner 6305937202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fusion Sleep LLCGroup PAC ID 1254346083, 10 clinicians

Practice addresses (Care Compare)

3650 Mansell Rd
Suite 100
Alpharetta, GA 30022-3068
Phone (678) 990-3962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN147388 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare Inc CurrentSince Aug 1, 2015 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Fusion Sleep LLC CurrentSince Jun 1, 2020 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Mar 1, 2015 Accepting new patients

Locations

3650 Mansell Rd
Ste 125
Alpharetta, GA 30022
Phone (678) 990-3962

3650 Mansell Rd
Ste 100
Alpharetta, GA 30022
Phone (678) 990-3962

1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309

6105 Peachtree Dunwoody Rd
Ste A205
Sandy Springs, GA 30328
Phone (678) 990-3962

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

4265 Johns Creek Pkwy
#A
Suwanee, GA 30024
Phone (678) 990-3962

4245 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 990-3962

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: cecile.martin.1@32234.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1326246158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY",
            "address_2": "SUITE A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300249121",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY",
            "address_2": "SUITE A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300249121",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CECILE",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN147388  NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.