Kelli B Martin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-118739 Issued in AL

Practice address

901 Leighton Ave Ste 101
Anniston, AL 36207-5703

Phone

(256) 236-0890

Fax

(256) 236-7078

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Regional Health Management CorporationGroup PAC ID 9638340201, 25 clinicians

The Health Care Authority of the City of AnnistonGroup PAC ID 3971408923, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelli.martin.1@15682.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Health Management Corporation

  • Psychiatry Physician
  • Anniston, AL
  • NPI 1639466584
  Medicare reassignment Care Compare group NPD
• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978
  Medicare reassignment Care Compare group NPD
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Medicare reassignment Care Compare group
• Alabama Physicians Group LLC

  • Emergency Medicine Physician
  • Anniston, AL
  • NPI 1750062527
  Medicare reassignment NPD
• Anniston Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Anniston, AL
  • NPI 1053387654
  NPD
• Regional Health Management Corporation

  • Rural Health Clinic/Center
  • Roanoke, AL
  • NPI 1497041834
  NPD
• Regional Medical Center Board

  • Neurology Physician
  • Anniston, AL
  • NPI 1093189375
  NPD
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1215976675
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Alabama, LLC

  • Home Health Agency
  • Anniston, AL
  • NPI 1245298892
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1558094748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 101",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075703",
            "telephone_number": "256-236-0890",
            "fax_number": "256-236-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 101",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075703",
            "telephone_number": "256-236-0890",
            "fax_number": "256-236-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 1st Ave SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362653323",
            "country_code": "US",
            "telephone_number": "256-435-2358",
            "fax_number": "256-435-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Pelham Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362653353",
            "country_code": "US",
            "telephone_number": "256-782-5310",
            "fax_number": "256-782-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marable
• Michael Edward Marks, M.D., P.H.D.
• Amie Marsh, O. D.
• Angela M Martin, MD
• Judson A Martin, CRNP
• Meredith Stovall Martin, CRNP
• Regina Martin, CRNP
• Patricia Rexine Mason, D.M.D.
• Reginald N. Mason, M.D.
• April Sue Masson

• Family Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.

Verify at the official NPI Registry.