Active NPI
Laquita Renee Martinez, M.D.
- Obstetrics & Gynecology Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 67683
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67683 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Women'S Health Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Obhg Georgia, P.C. | Obstetrics & Gynecology | Current | 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
- https://api.platform.athenahealth.com/18701/brand/1/csg/1/fhir/r4
- 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.
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1750686838
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Obstetrics & Gynecology Physician
- Alpharetta, GA
- NPI 1811467970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.