Tamela E Martin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN245418 Issued in GA

Practice address

590 Historic Hwy 441 North
Demorest, GA 30571

Phone

(706) 754-5511

Fax

(706) 754-5511

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1912481680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HISTORIC HWY 441 NORTH",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30571",
            "telephone_number": "706-892-8030",
            "fax_number": "706-754-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HISTORIC HWY 441 NORTH",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30571",
            "telephone_number": "706-754-5511",
            "fax_number": "706-754-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAMELA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN245418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia F Lewallen, OT
• Dana Odum List, APRN
• Morgan C Long, PA-C, LAT, ATC
• Gabriella Lotter
• Michael Marien, PA-C
• Kristen Diana Maxwell X, FNP-C
• Gary P McCarthy, M.D.
• James Robert McGahee Jr., PT, DPT
• Matthew Dean McKinney, ED.D, LAT, ATC
• William Starr McLean, D.O.

• Family Nurse Practitioner in Demorest, GA
• Providers in Demorest, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.