MS. SANDRA DEE MARTIN FNP-BC
NPI 1154826410
Nurse Practitioner - Family in Moultrie, GA

Active since March 28, 2018
760 26TH AVE SE, MOULTRIE, GA 31768(229) 985-1457(229) 890-9430 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Oct 10, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Sandra Dee Martin Fnp-bc NPPES

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

MS. SANDRA DEE MARTIN FNP-BC (NPI 1154826410) is an individual family provider in Moultrie, Georgia, licensed in Georgia (RN199617) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1154826410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SANDRA DEE MARTINCredential: FNP-BC
Location Address760 26TH AVE SEMoultrie, GA 31768-6799
Mailing Address760 26th Ave SeMoultrie, GA 31768-6799 · (229) 985-1457 · Fax (229) 890-9430
Fax(229) 890-9430
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1154826410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN199617
760 26TH AVE SE, Moultrie, GA 31768

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
760 26TH AVE SE
MOULTRIE, GA 31768
Pediatrics
760 26TH AVE SE
MOULTRIE, GA 31768
Pediatrics
760 26TH AVE SE
MOULTRIE, GA 31768
Family Medicine
760 26TH AVE SE
MOULTRIE, GA 31768
Dermatology
760 26TH AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Pediatrics)
760 26TH AVE SE
MOULTRIE, GA 31768
Dermatology
760 26TH AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Family)
760 26TH AVE SE
MOULTRIE, GA 31768

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 Sandra Martin's NPI number?

The NPI number for Sandra Martin is 1154826410. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Sandra Martin located?

Sandra Martin practices at 760 26th Ave SE, Moultrie, GA 31768. The listed phone number is (229) 985-1457.

What is Sandra Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandra Martin was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.