Tamika Martin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN221693 Issued in GA

Practice address

1404 Southlake Plaza Dr
Morrow, GA 30260-1756

Phone

(404) 436-1876

Fax

(888) 720-2672

NPI assigned

Mar 14, 2017

Last updated

Mar 6, 2025By the provider in NPPES

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 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Locust Grove Family MedicineGroup PAC ID 1052306008, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19518/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
• FHIR API: https://fhir4.healow.com/fhir/r4/GDIGDD
• FHIR API: https://fhir4.healow.com/fhir/r4/GDIGDD/Endpoint/GDIGDD

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.

• Locust Grove Family Medicine

  • Non-Pharmacy Dispensing Site
  • Locust Grove, GA
  • NPI 1629169164
  Medicare reassignment Care Compare group NPD
• Medcare Plus

  • Primary Care Clinic/Center
  • Morrow, GA
  • NPI 1114647740
  Medicare reassignment NPD Authorized official
• Medical Group of Central Georgia, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1083860779
  Medicare reassignment NPD
• Southeast Medical Group, P.C.

  dba North Atlanta Primary Care, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  Medicare reassignment NPD
• Serving Extra Care LLC

  • Home Health Agency
  • Hampton, GA
  • NPI 1518597806
  NPD Authorized official
• Houston Medical Associates, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1013179670
  NPD
• Reliance Family Care

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1699912113
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1598206294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "404-436-1876",
            "fax_number": "888-720-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "404-436-1876",
            "fax_number": "888-720-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN221693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lynn OD & Associates PC (Visionworks)
• Susan Mary Markle, O.T.R.
• Jennifer Yvonne Marshall, MD
• Ashley Elaine Martin, ACNP-BC
• Stephannie Martin
• Danielle Masi, ATC
• Terry Lynn Mathews
• Brittany Zania Mathis
• Marlo Demetra Mathis, D.MIN, MA, LPC
• Muktak Mathur, M.D.

• Nurse Practitioner in Morrow, GA
• Providers in Morrow, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.