Active NPI
Iika Petrice Martin
- Social Worker
- Powder Springs, GA
National Provider Identifier
1497687131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130835-01
- Practice address
- 4076 Akins Ridge CT
Powder Springs, GA 30127-3272 - Phone
- (404) 561-9420
- NPI assigned
- May 29, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW003772 | GA | |
| Social Worker | 104100000X | 130835-01 | NY | Primary |
| Social Worker | 104100000X | 15408 | TN |
Addresses
Primary practice location
4076 Akins Ridge CT
Powder Springs, GA 30127-3272
Mailing address
4076 Akins Ridge CT
Powder Springs, GA 30127-3272
Phone (404) 561-9420
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW003772 | GA | MD | Social Worker |
| 130835-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1497687131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 AKINS RIDGE CT",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301273272",
"telephone_number": "404-561-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4076 AKINS RIDGE CT",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301273272",
"telephone_number": "404-561-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "IIKA",
"middle_name": "PETRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW003772",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "130835-01",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "15408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.