Active NPI
Aimee T. Martin, MD
- Emergency Medicine Physician
- Athens, GA
National Provider Identifier
1447232012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 56196
- Practice address
- 55 Carlton St
Athens, GA 30602-1503 - Phone
- (706) 542-8621
- Fax
- (706) 583-0217
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56196 | GA | Primary |
Addresses
Primary practice location
55 Carlton St
Athens, GA 30602-1503
Mailing address
55 Carlton St
Athens, GA 30602-1503
Phone (706) 542-8621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590313928A | Medicaid | GA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56196 | GA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1447232012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021503",
"telephone_number": "706-542-8621",
"fax_number": "706-583-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021503",
"telephone_number": "706-542-8621",
"fax_number": "706-583-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AIMEE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "56196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "590313928A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.