Leisel Samantha Martin-Brown, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

83457 Issued in GA

Practice address

3225 Shallowford Rd Ste 300B
Marietta, GA 30062-1299

Phone

(678) 734-9293

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Leisel Samantha Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1871913129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 300B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621299",
            "telephone_number": "678-734-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 300B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621299",
            "telephone_number": "678-734-9293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300091973",
            "country_code": "US",
            "telephone_number": "470-283-9233",
            "fax_number": "404-393-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-BROWN",
        "first_name": "LEISEL",
        "middle_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "83457",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEISEL",
            "last_name": "MARTIN",
            "middle_name": "SAMANTHA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Marson, D.O.
• Louise Marssa, M.ED. CCC-SLP
• Markas Marston
• Martin Chiropractic, Inc
• Martin P Krieger DDS and Associates
• Anna Ward Beecher Martin, LAPC, NCC, MA
• Brittany Mashawn Martin, LMSW
• Casey Martin
• Daniel F Martin, D.C
• Lauren Cydnee Martin, NP

• Psychiatry Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.