Individual provider Active NPI

Stephanie S Martin, MD

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1386662237
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
048913 Issued in GA
Practice address
3280 Howell Mill Road NW
Ste 205
Atlanta, GA 30327-3032
Phone
(404) 973-2444
Fax
(404) 935-9832
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 048913 GA Primary

Addresses

Primary practice location

3280 Howell Mill Road NW
Ste 205
Atlanta, GA 30327-3032

Mailing address

3280 Howell Mill Road NW
Ste 205
Atlanta, GA 30327-1181
Phone (404) 973-2444

Other identifiers 1

IdentifierTypeStateIssuer
000867787CMedicaidGA

Other names 1

  • Stephanie Sue Bankson Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000626 GA Practitioner - Orthopedic Surgery 5496799108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 205
Atlanta, GA 30327-2306
Phone (404) 973-2444

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048913GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Orthopaedics & Sports Medicine Orthopaedic Surgery CurrentSince Dec 15, 2018 Accepting new patients
Pediatric Orthopaedic Associates Past Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 205
Atlanta, GA 30327
Phone (404) 607-0570

631 Professional Dr
Ste 170
Lawrenceville, GA 30046
Phone (678) 312-2663

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386662237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL ROAD NW",
            "address_2": "STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271181",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL ROAD NW",
            "address_2": "STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273032",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "048913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000867787C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BANKSON",
            "middle_name": "SUE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.