Individual provider Active NPI

Shamekia Quick Martin, RN, BSN, MSN, A-GNP

  • Gerontology Nurse Practitioner
  • Aberdeen, NC
National Provider Identifier
1417654583
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5017615 Issued in NC
Practice address
915 Pee Dee Rd
Aberdeen, NC 28315-3817
Phone
(910) 944-8999
NPI assigned
Feb 9, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331000206 NC Practitioner - Nurse Practitioner 6406221613 Reassigns benefits to 3 organizations

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
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

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

LicenseStateTypeSpecialty
5017615NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Oct 30, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner CurrentSince Aug 8, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Dec 17, 2022 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.