CAROL D MARTIN NP
NPI 1184868796
Nurse Practitioner in Fayetteville, GA

Active since April 27, 2009PECOS Enrolled
1265 HIGHWAY 54 W, SUITE 409, FAYETTEVILLE, GA 30214(678) 817-6505 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carol D Martin Np NPPES

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

CAROL D MARTIN NP (NPI 1184868796) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN072776) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184868796
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL D MARTINCredential: NP
Location Address1265 HIGHWAY 54 W, SUITE 409Fayetteville, GA 30214-4548
Mailing Address95 Collier Rd Nw, Suite 4075Atlanta, GA 30309-1796 · (404) 603-3543 · Fax (404) 350-8795
Sole ProprietorNo
Enumeration DateApril 27, 2009
NPI 1184868796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN072776
Definition

(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 or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1265 HIGHWAY 54 W, Fayetteville, GA 30214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol D Martin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
15%425 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%260 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%430 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%459 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
78%415 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
50%221 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 409
FAYETTEVILLE, GA 30214
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 409
FAYETTEVILLE, GA 30214
Specialist
1265 HIGHWAY 54 W, SUITE 410
FAYETTEVILLE, GA 30214
Audiologist
1265 HIGHWAY 54 W, SUITE 304
FAYETTEVILLE, GA 30214
Audiologist
1265 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214
Surgery
1265 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Specialist
1265 HIGHWAY 54 W, SUITE 500B
FAYETTEVILLE, GA 30214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184868796, enumerated as an "individual" on April 27, 2009.

The provider is located at 1265 HIGHWAY 54 W SUITE 409 FAYETTEVILLE, GA 30214 and the phone number is (678) 817-6505.

Nurse Practitioner with taxonomy code 363L00000X.