Active NPI
Thelema C Martin, RD
- Renal Nutrition Registered Dietitian
- Atlanta, GA
National Provider Identifier
1881862639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- LD001673
- Practice address
- 5605 Glenridge Dr NE
Suite 1050
Atlanta, GA 30342-1365 - Phone
- (678) 527-0800
- Fax
- (678) 244-9010
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | LD001673 | GA | Primary |
Addresses
Primary practice location
5605 Glenridge Dr NE
Suite 1050
Atlanta, GA 30342-1365
Mailing address
5605 Glenridge Dr NE
Suite 1050
Atlanta, GA 30342-1365
Phone (678) 527-0800
Other names 1
- Ms. Thelma C Martin
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Atlanta Nephrology, PC | Current | Accepting new patients |
Locations
3620 Martin Luther King Jr Dr SW
Atlanta, GA 30331
Phone (404) 696-7300
Interoperability endpoints
- https://api.platform.athenahealth.com/16547/brand/1/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Atlanta, GA
- NPI 1992756894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1881862639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 GLENRIDGE DR NE",
"address_2": "SUITE 1050",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421365",
"telephone_number": "678-527-0800",
"fax_number": "678-244-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 GLENRIDGE DR NE",
"address_2": "SUITE 1050",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421365",
"telephone_number": "678-527-0800",
"fax_number": "678-244-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THELEMA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "GA",
"license": "LD001673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THELMA",
"last_name": "MARTIN",
"middle_name": "C",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.