JACKIE N MARSHALL-MARTIN PMHNP
NPI 1245743756
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Q: What is Jackie Marshall-martin's NPI number?

The NPI number for Jackie Marshall-martin is 1245743756. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Q: What is Jackie Marshall-martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 07, 2017PECOS Enrolled

3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039(770) 978-9393 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jul 15, 2024, Nov 7, 2017 (3 updates tracked since 2017).

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About Jackie N Marshall-martin Pmhnp NPPES

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

JACKIE N MARSHALL-MARTIN PMHNP (NPI 1245743756) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (RN159956) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245743756

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACKIE N MARSHALL-MARTINCredential: PMHNP

Location Address3991 HIGHWAY 78 W STE 203Snellville, GA 30039-3929

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (770) 978-9393

Phone(770) 978-9393

Sole ProprietorYes

Enumeration DateNovember 7, 2017

Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1245743756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN159956

Also ListedRegistered NurseTaxonomy 163W00000X · License RN159956 (GA)

3991 HIGHWAY 78 W STE 203, Snellville, GA 30039

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Secondary Practice Locations 2

Location 12151 Peachford RdAtlanta, GA 30338-6534 · Phone (770) 455-5519

Location 2450 Willie Kate LnLawrenceville, GA 30045-3534 · Phone (404) 664-9864

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie N Marshall-martin Pmhnp 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 30039 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.

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Other Providers at the Same Location NPPES 17

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

KAREN NGUYEN GRAY PA-C

Physician Assistant