Stephannie Martin

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

6651 Cameron Rd
Morrow, GA 30260-2607

Phone

(770) 329-9833

NPI assigned

Dec 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Revived and Restored Health, LLC

  • Health & Wellness Coach
  • Morrow, GA
  • NPI 1841978699
  NPD Authorized official

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1336917616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CAMERON RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CAMERON RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602607",
            "telephone_number": "770-329-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Eliese Maris, MD
• Mark Lynn OD & Associates PC (Visionworks)
• Susan Mary Markle, O.T.R.
• Jennifer Yvonne Marshall, MD
• Ashley Elaine Martin, ACNP-BC
• Tamika Martin
• Danielle Masi, ATC
• Terry Lynn Mathews
• Brittany Zania Mathis
• Marlo Demetra Mathis, D.MIN, MA, LPC

• Health & Wellness Coach in Morrow, GA
• Providers in Morrow, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.