Active NPI
Caitlin Culver Martin
- Family Nurse Practitioner
- Loganville, GA
National Provider Identifier
1679243182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN240735
- Practice address
- 4398 Atlanta Hwy
Loganville, GA 30052 - Phone
- (678) 732-1415
- Fax
- (404) 614-7359
- NPI assigned
- Sep 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN240735 | GA | Primary |
Addresses
Primary practice location
4398 Atlanta Hwy
Loganville, GA 30052
Mailing address
100 Riverhill Dr
Athens, GA 30606-4038
Phone (404) 556-9020
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1679243182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RIVERHILL DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306064038",
"telephone_number": "404-556-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4398 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "30052",
"telephone_number": "678-732-1415",
"fax_number": "404-614-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CAITLIN",
"middle_name": "CULVER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN240735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.