Amanda Leigh Martin, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R865619 Issued in MS

Practice address

609 Brunson Dr Ste B
Tupelo, MS 38801-4948

Phone

(662) 432-1097

Fax

(833) 707-1951

NPI assigned

Sep 26, 2007

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Chadwick Clinic LLCGroup PAC ID 5092198028, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.martin.1@26357.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/27388/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Chadwick Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1801538186
  Medicare reassignment Care Compare group NPD
• Mantachie Rural Health Care, Inc

  dba Mantachie Rural Health Care, Inc. Dorsey School

  • Federally Qualified Health Center (FQHC)
  • Fulton, MS
  • NPI 1447031943
  NPD (past)
• New Hope Family Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1699400184
  NPD (past)
• New Hope Medical Clinic, Inc.

  • Legal Medicine
  • Columbus, MS
  • NPI 1679567556
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1356538045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350480",
            "telephone_number": "662-432-1097",
            "fax_number": "833-707-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BRUNSON DR STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014948",
            "telephone_number": "662-432-1097",
            "fax_number": "833-707-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5681 Highway 363",
            "address_purpose": "LOCATION",
            "city": "Mantachie",
            "state": "MS",
            "postal_code": "388557632",
            "country_code": "US",
            "telephone_number": "662-282-4226",
            "fax_number": "662-282-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865619",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R865619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah M Marlin
• Sandra H Marlin, CRNA
• Marquis Dental Center PA (Renew Dental)
• Courtney Marsh
• Alexandria Brooke Martin, LBSW
• Crystal L Martin
• Letesha Seals Martin
• Mary Martin, MSW
• Sherry Alcorn Martin, M.D.
• Melanie P Marweg, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.