Dawn Johanna Martin, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24849 Issued in SC

Practice address

780 E Oglethorpe Hwy
Hinesville, GA 31313-2808

Phone

(912) 385-0801

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospice Savannah, Inc

  • Community Based Hospice Care Agency
  • Savannah, GA
  • NPI 1508812447
  Medicare reassignment NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133

  SC

  Medicare reassignment NPD
• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837

  GA

  Medicare reassignment NPD
• Steward Center for Palliative Care

  • Case Management Agency
  • Savannah, GA
  • NPI 1013964907
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1588240741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SAND HILL RD",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304156813",
            "telephone_number": "912-308-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132808",
            "telephone_number": "912-385-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Sand Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklet",
            "state": "GA",
            "postal_code": "304156813",
            "country_code": "US",
            "telephone_number": "912-308-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Progressive St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105165",
            "country_code": "US",
            "telephone_number": "843-548-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAWN",
        "middle_name": "JOHANNA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN173525",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci J Marrero, MA, LPC, CPAS, CAMT
• Marsh & Hughes LLC
• Marshall Clinical Services, LLC
• Jazmine Marshall, FNP
• Marshside Medical, LLC
• Melanie Martin, RN
• Claudia Liliana Martinez, DC
• Nashley Michelle Martinez
• Mary Lou Fraser Foundation for Families, Inc.
• Nicole Latrelle Mason

• Family Nurse Practitioner in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.