CHARLES DAVIS MARTIN FNP-C
NPI 1104533892
Nurse Practitioner - Family in Augusta, GA

Active since November 01, 2022PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-0211 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Nov 1, 2022 (2 updates tracked since 2022).

About Charles Davis Martin Fnp-c NPPES

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

CHARLES DAVIS MARTIN FNP-C (NPI 1104533892) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN250185) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104533892
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES DAVIS MARTINCredential: FNP-C
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1825 Honeysuckle WayGrovetown, GA 30813-3171 · (706) 589-1355
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 1, 2022
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1104533892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN250185
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License RN250185 (GA)
1120 15TH ST, Augusta, GA 30912

Other Identifiers 1

OtherW274616956Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Davis Martin Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335510965
PECOS Enrollment IDI20230119000091
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912

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 Charles Martin's NPI number?

The NPI number for Charles Martin is 1104533892. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Charles Martin located?

Charles Martin practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-0211.

What is Charles Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Martin enrolled in Medicare?

Yes. Charles Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Martin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Charles Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Martin affiliated with any hospitals?

According to CMS data, Charles Martin is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Martin was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.