Individual provider Active NPI

Martha Brown Raburn, FNPC

  • Family Nurse Practitioner
  • Americus, GA
National Provider Identifier
1558430579
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN109339 Issued in GA
Practice address
1102 E Lamar Street
Suite 2
Americus, GA 31709
Phone
(229) 514-1444
Fax
(229) 514-1422
NPI assigned
Nov 6, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN109339 GA Primary

Addresses

Primary practice location

1102 E Lamar Street
Suite 2
Americus, GA 31709

Mailing address

1102 E Lamar St Ste 2
Americus, GA 31709-3781
Phone (229) 514-1444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000271 GA Practitioner - Nurse Practitioner 2860661691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
109339GAMDDiagnostic Radiology Physician
RN109339GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince May 29, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince May 29, 2025 Accepting new patients
Dr F M Himada and Pediatric Associates LLC PastSince Jan 14, 2024 Accepting new patients

Locations

1102 E Lamar St
Ste 2
Americus, GA 31709
Phone (229) 514-1444

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1558430579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E LAMAR ST STE 2",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093781",
            "telephone_number": "229-514-1444",
            "fax_number": "229-514-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E LAMAR STREET",
            "address_2": "SUITE 2",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-514-1444",
            "fax_number": "229-514-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABURN",
        "first_name": "MARTHA",
        "middle_name": "BROWN",
        "name_prefix": "Ms.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN109339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.