TESSICA GRACE MARTIN PA-C
NPI 1053104398
Physician Assistant in Mooresville, NC

Active since May 28, 2025PECOS Enrolled
653 BLUEFIELD RD STE A, MOORESVILLE, NC 28117(704) 360-6500 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tessica Grace Martin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSICA GRACE MARTIN PA-C (NPI 1053104398) is an individual physician assistant in Mooresville, North Carolina and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053104398
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTESSICA GRACE MARTINCredential: PA-C
Location Address653 BLUEFIELD RD STE AMooresville, NC 28117-9626
Mailing Address2709 Walkers Branch RdHamptonville, NC 27020-7857 · (336) 469-5438
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1053104398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
653 BLUEFIELD RD STE A, Mooresville, NC 28117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tessica Grace Martin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789181413
PECOS Enrollment IDI20251008003960
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
653 BLUEFIELD RD STE A
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
653 BLUEFIELD RD STE A
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
653 BLUEFIELD RD STE A
MOORESVILLE, NC 28117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tessica Martin's NPI number?

The NPI number for Tessica Martin is 1053104398. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Tessica Martin located?

Tessica Martin practices at 653 Bluefield Rd Ste A, Mooresville, NC 28117. The listed phone number is (704) 360-6500.

What is Tessica Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tessica Martin enrolled in Medicare?

Yes. Tessica Martin is registered in the Medicare PECOS enrollment system.

Is Tessica Martin affiliated with any hospitals?

According to CMS data, Tessica Martin is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Tessica Martin was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.