Individual provider Active NPI

Martha Tallman Brumby, MSN,APRN-BC

  • Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1750445706
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN182990 Issued in GA
Practice address
2665 N Decatur Rd Ste 520
Decatur, GA 30033-6146
Phone
(404) 299-2223
Fax
(404) 297-7370
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN182990 GA Primary

Addresses

Primary practice location

2665 N Decatur Rd Ste 520
Decatur, GA 30033-6146

Mailing address

2665 N Decatur Rd Ste 520
Decatur, GA 30033-6146
Phone (404) 299-2223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicat@diabetesendo.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000132 GA Practitioner - Nurse Practitioner 5395747778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Endocrinology Associates East PastSince Jan 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tallman@diabetesendo.gwaydirect.com

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1750445706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "404-299-2223",
            "fax_number": "404-297-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "404-299-2223",
            "fax_number": "404-297-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBY",
        "first_name": "MARTHA",
        "middle_name": "TALLMAN",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN182990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicat@diabetesendo.com",
            "affiliation": "N",
            "endpointDescription": "practice administrator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2665 N Decatur Rd Ste 520",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300336146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.