Active NPI
Alyssa Martin, AGACNP-BC
- Nurse Practitioner
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN245106
- Practice address
- 1497 Fair Rd Ste 311
Statesboro, GA 30458-0828 - Phone
- (912) 354-6187
- NPI assigned
- Feb 9, 2022
- Last updated
- Feb 20, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN245106 | GA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | RN245106 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN245106 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN245106 | GA |
Addresses
Primary practice location
1497 Fair Rd Ste 311
Statesboro, GA 30458-0828
Mailing address
836 E 65TH St Ste 4
Savannah, GA 31405-4491
Other practice location 1
459 Hwy 119 S Ste B
Springfield, GA 31329-3021
Phone (912) 800-6560
Other practice location 2
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-6187
Other practice location 3
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187
Other practice location 4
159 W Railraod St, Bldg B
Pembroke, GA 31321
Phone (912) 354-6187
Other practice location 5
225 Candler Dr Ste 300
Savannah, GA 31405-6091
Phone (912) 354-6187
Other practice location 6
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 354-6187
Other practice location 7
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-6187
Other practice location 8
459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 800-6560
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
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)
1497 Fair Rd
Suite 311
Statesboro, GA 30458-0828
Phone (912) 354-6187
Hospital & facility affiliations
- Candler Hospital
- East Georgia Regional Medical Center
- St Joseph's Hospital - Savannah
- Christiana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.81 of 100
- Quality
- 58.86
- Promoting interoperability
- 53
- Improvement activities
- 40
- Cost
- 70.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN245106 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candler Medical Oncology Practice, LLC | Single Specialty | Current | Accepting new patients |
| Candler Medical Oncology Practice, LLC | Single Specialty | Current | Accepting new patients |
| Effingham Physician Practices, LLC | Single Specialty | Current | Accepting new patients |
Locations
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
225 Candler Dr
Ste 300
Savannah, GA 31405
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825
836 E 65th St
Ste 4
Savannah, GA 31405
Phone (912) 351-0057
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560
1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/candler-47b034e8
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Savannah, GA
- NPI 1003217712
Single Specialty
-
dba Effingham Medical Oncology Practice
- Hematology & Oncology Physician
- Springfield, GA
- NPI 1477908788
Single Specialty
-
- Hematology & Oncology Physician
- Bluffton, SC
- NPI 1376179960
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1487308300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E 65TH ST STE 4",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 FAIR RD STE 311",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580828",
"telephone_number": "912-354-6187"
}
],
"practiceLocations": [
{
"address_1": "459 Hwy 119 S Ste B",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "GA",
"postal_code": "313293021",
"country_code": "US",
"telephone_number": "912-800-6560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11705 Mercy Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314191711",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5353 Reynolds St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056015",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 W Railraod St, Bldg B",
"address_purpose": "LOCATION",
"city": "Pembroke",
"state": "GA",
"postal_code": "31321",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Candler Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056091",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1499 Fair Rd",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304581683",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Waters Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046220",
"country_code": "US",
"telephone_number": "912-354-6187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "459 Hwy 119 S",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "GA",
"postal_code": "313293021",
"country_code": "US",
"telephone_number": "912-800-6560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ALYSSA",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2023-02-20",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN245106",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN245106",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN245106",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN245106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.