Individual provider Active NPI

Katyana Samone Martin, FNP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1407448723
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001200 Issued in GA
Practice address
5601 Veterans Pkwy
Columbus, GA 31904-9001
Phone
(706) 321-6227
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP001200 GA Primary
Registered Nurse 163W00000X 1-175770 AL

Addresses

Primary practice location

5601 Veterans Pkwy
Columbus, GA 31904-9001

Mailing address

5601 Veterans Pkwy
Columbus, GA 31904-9001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002743 GA Practitioner - Nurse Practitioner 0648612762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 Fort Benning Rd
Columbus, GA 31903-2834

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

315 W Ponce de Leon Ave
Suite 1000
Decatur, GA 30030-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-175770ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Healthcare System CurrentSince Mar 6, 2024 Accepting new patients
Valley Healthcare System Inc Current Accepting new patients
Valley Healthcare System Inc CurrentSince Mar 6, 2024 Accepting new patients

Locations

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

341 N Washington Ave
Talbotton, GA 31827
Phone (706) 665-2585

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1407448723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049001",
            "telephone_number": "706-321-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATYANA",
        "middle_name": "SAMONE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-175770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.