Individual provider Active NPI

Laquita Renee Martinez, M.D.

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
National Provider Identifier
1609063239
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67683 Issued in GA
Practice address
11975 Morris Rd Ste 310B
Alpharetta, GA 30005-4444
Phone
(678) 261-7700
Fax
(855) 461-1697
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 67683 GA Primary

Addresses

Primary practice location

11975 Morris Rd Ste 310B
Alpharetta, GA 30005-4444

Mailing address

1115 Rosewood Dr
Alpharetta, GA 30005-8319
Phone (770) 823-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150123000692 GA Practitioner - Obstetrics/Gynecology 8527382464 Reassigns benefits to 2 organizations
I20191221000339 GA Practitioner - Obstetrics/Gynecology 8527382464 Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67683GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Women'S Health Center Obstetrics & Gynecology CurrentSince Sep 21, 2019 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Dec 21, 2018 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Oct 30, 2018 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

3400 Old Milton Pkwy
Ste C585
Alpharetta, GA 30005
Phone (678) 369-6993

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18701/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laquita.martinez.1@18701.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1609063239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ROSEWOOD DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058319",
            "telephone_number": "770-823-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 310B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "678-261-7700",
            "fax_number": "855-461-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LAQUITA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.