Active NPI
Shamekia Quick Martin, RN, BSN, MSN, A-GNP
- Gerontology Nurse Practitioner
- Aberdeen, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5017615
- Practice address
- 915 Pee Dee Rd
Aberdeen, NC 28315-3817 - Phone
- (910) 944-8999
- NPI assigned
- Feb 9, 2023
- Last updated
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5017615 | NC | Primary |
Addresses
Primary practice location
915 Pee Dee Rd
Aberdeen, NC 28315-3817
Mailing address
PO Box 2002
Rockingham, NC 28380-2002
Phone (910) 334-3613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017615 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
915 Pee Dee Rd
Aberdeen, NC 28315
Phone (910) 690-1373
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
969 Cox Rd
Gastonia, NC 28054
Phone (704) 266-8596
215 College St
Graham, NC 27253
Phone (336) 228-8394
225 White St
Jacksonville, NC 28546
Phone (910) 353-7222
10506 Clear Creek Commerce Dr
Mint Hill, NC 28227
Phone (704) 545-2377
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273
804 S Long Dr
Rockingham, NC 28379
Phone (910) 997-4493
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
NC, Nurse Practitioner
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1417654583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2002",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283802002",
"telephone_number": "910-334-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 PEE DEE RD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283153817",
"telephone_number": "910-944-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SHAMEKIA",
"middle_name": "QUICK",
"credential": "RN, BSN, MSN, A-GNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5017615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.