Organization Active NPI

Deborah a Martin, MD, Facs

  • Medical Specialty Clinic/Center
  • Cumming, GA
National Provider Identifier
1437601549
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DEBORAH A MARTIN, MD, FACS
Practice address
1400 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-7668
Phone
(770) 844-2144
Fax
(770) 844-2026
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Dr. Deborah A MartinNPI 1558326413
Title
Owner
Phone
(770) 844-2144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1400 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-7668

Mailing address

1400 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-7668
Phone (770) 844-2144

Other identifiers 1

IdentifierTypeStateIssuer
000405127CMedicaidGA

National Provider Directory

National Provider Directory

Locations

1400 Northside Forsyth Dr
Ste 340
Cumming, GA 30041
Phone (770) 532-7202

4255 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 786-1314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1437601549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 340",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417668",
            "telephone_number": "770-844-2144",
            "fax_number": "770-844-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 340",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417668",
            "telephone_number": "770-844-2144",
            "fax_number": "770-844-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A MARTIN, MD, FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-844-2144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000405127C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.