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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Marshall-martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uhs Of Peachford LP
15 mi
Psychiatry
2151 PEACHFORD RD
Atlanta, GA 30338
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Uhs Of Peachford, L.P.
  • 7 clinicians in this Medicare group
NPI 1124207220 (770) 455-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 18

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

LIONEL J SMITH
Social Worker (Clinical)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
KAREN NGUYEN GRAY PA-C
Physician Assistant
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
ZICOLE BROWNE DO
Psychiatry & Neurology (Psychiatry)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
CHARLES PEGUY GUILLAUME PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
HAWAH COMFORT GUAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
MRS. JUANITA M BENTLEY LPC
Counselor (Professional)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
COURTNEY JE'VON WOODARD LPC
Counselor (Professional)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
DR. MELONIE A. BELL-HILL PHD
Psychologist (Clinical)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393

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 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.

Where is Jackie Marshall-martin located?

Jackie Marshall-martin practices at 3991 Highway 78 W Ste 203, Snellville, GA 30039. The listed phone number is (770) 978-9393.

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.

Is Jackie Marshall-martin enrolled in Medicare?

Yes. Jackie Marshall-martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Marshall-martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Marshall-martin reassigns Medicare benefits to Uhs Of Peachford LP (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Marshall-martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Marshall-martin was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.