Deirdra V Martin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-149010 Issued in AL

Practice address

300 S. Twining Street, BLDG 760
Maxwell Afb, AL 36112-6219

Phone

(334) 953-5200

Fax

(334) 953-8607

NPI assigned

Feb 10, 2021

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

Enrolled in AL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Health Alabama LLCGroup PAC ID 9537521182, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Merit-based Incentive Payment System (MIPS)

Final score

84.18 of 100Reported as group

Quality

75.76

Promoting interoperability

98

Improvement activities

40

Cost

73.18

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sage Health Alabama LLC

  • Primary Care Clinic/Center
  • Mobile, AL
  • NPI 1063123602
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• The Center for Pain of Montgomery LLC

  • Interventional Pain Medicine Physician
  • Montgomery, AL
  • NPI 1588710289
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• The Center for Pain of Montgomery LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1871469239
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1356933360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH TWINING STREET, BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-5200",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. TWINING STREET, BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-5200",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEIRDRA",
        "middle_name": "V",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-149010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly S Lesyea, LCSW
• Jennifer Renee Lewis
• Elaine Marie Liberti, PA-C
• Haley Suzanne Lord, PA-C
• Letitia Renee Lyons Watson, M.D.
• Maxwell Afb Ambulatory Health Care Center
• Anastasia McKoy, WHNP-BC
• David W McMichael, D.M.D.
• Amy J. McNett, CCC-SLP
• Andrew B Meadows

• Family Nurse Practitioner in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.