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● Active Type 1 · Individual

Shelley Charmaine Martin, CNP

Nurse Practitioner·Gainesville, GA· NPI 1003363201 · Enumerated 2016 · 10 years on NPI
Martin is 1 of 45 nurse practitioner providers in Gainesville and 1 of 3,302 in Georgia.
NPI age
10 years
Enumerated 2016-09-06
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-12
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3302 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2016 → 2023

2016-09Enumerated in NPPES
2016 2023

Where they practice

Practice location
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville, GA 305013861
📞 7705369864fax 7702975025
Mailing address
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville, GA 305013861
📞 7705369864fax 7702975025

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #GAA-NP001186AL license #1-086060 taxonomy 363L00000X
  • Nurse Practitioner
    CMS NPPES uses NUCC taxonomy code 363LG0600X for provider records classified as Gerontology within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
    AL license #1-086060 taxonomy 363LG0600X

Identifiers

TypeValueNotes
05 (AL) 226376
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Gainesville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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