Active NPI
L Ellen Martin, CNM
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1396826681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- RN041837
- Practice address
- 20 Glenlake Pkwy
Atlanta, GA 30328 - Phone
- (770) 677-6049
- Fax
- (770) 677-7331
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | RN041837 | GA | Primary |
Addresses
Primary practice location
20 Glenlake Pkwy
Atlanta, GA 30328
Mailing address
20 Glenlake Pkwy
Atlanta, GA 30328
Phone (770) 677-6049
Other names 1
- Leslie Ellen Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN041837 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396826681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GLENLAKE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "770-677-6049",
"fax_number": "770-677-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GLENLAKE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "770-677-6049",
"fax_number": "770-677-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "L",
"middle_name": "ELLEN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "RN041837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "MARTIN",
"middle_name": "ELLEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.