1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Physician Assistant
  6. NPI Profile

JAYCIE MADISON MARTIN PA-C
NPI 1205709599
Physician Assistant in Shreveport, LA

Active since September 24, 2025PECOS Enrolled
1500 LINE AVE STE 200, SHREVEPORT, LA 71101(318) 629-5555(318) 629-5556 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaycie Madison Martin Pa-c NPPES

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

JAYCIE MADISON MARTIN PA-C (NPI 1205709599) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (349247) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205709599
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAYCIE MADISON MARTINCredential: PA-C
Location Address1500 LINE AVE STE 200Shreveport, LA 71101-4643
Mailing Address1500 Line Ave Ste 200Shreveport, LA 71101-4643 · (318) 629-5555 · Fax (318) 629-5556
Phone(318) 629-5555
Fax(318) 629-5556
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1205709599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in LA · 349247
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.
1500 LINE AVE STE 200, Shreveport, LA 71101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2567955800
PECOS Enrollment IDI20251204001499
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 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 5

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

LAUREN GREEN AGACNP-BC
Nurse Practitioner
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
DR. PETER GRAVEL CAMPBELL M.D.
Neurological Surgery
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
MRS. KIMBERLY SPOTTS PA-C
Physician Assistant (Surgical)
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
MRS. MEAGAN JEANETTE SIMMONS RNFA
Registered Nurse (Registered Nurse First Assistant)
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
PETER X NGUYEN PA-C
Physician Assistant (Surgical)
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555

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 Jaycie Martin's NPI number?

The NPI number for Jaycie Martin is 1205709599. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Jaycie Martin located?

Jaycie Martin practices at 1500 Line Ave Ste 200, Shreveport, LA 71101. The listed phone number is (318) 629-5555.

What is Jaycie Martin's specialty?

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

Is Jaycie Martin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jaycie Martin was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.