Individual provider Active NPI

Milissa Michelle Martin, PCT,CNA

  • Adult Mental Health Clinic/Center
  • Dahlonega, GA
National Provider Identifier
1598558116
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Practice address
55 Thunder Rd
Dahlonega, GA 30533-4952
Phone
(706) 973-2544
NPI assigned
May 27, 2025
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X GA Primary

Addresses

Primary practice location

55 Thunder Rd
Dahlonega, GA 30533-4952

Mailing address

55 Thunder Rd
Dahlonega, GA 30533-4952
Phone (706) 973-2544

Other names 1

  • Milissa Michelle Hardin Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1598558116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 THUNDER RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305334952",
            "telephone_number": "706-973-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 THUNDER RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305334952",
            "telephone_number": "706-973-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MILISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PCT,CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILISSA",
            "last_name": "HARDIN",
            "middle_name": "MICHELLE",
            "credential": "PCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.