CATHERINE MARTIN CPNP-PC
NPI 1407511645
Nurse Practitioner - Pediatrics in Conyers, GA

Active since November 02, 2021
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094(678) 750-4000(678) 750-4005 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, Aug 16, 2022, Nov 2, 2021 (3 updates tracked since 2021).

About Catherine Martin Cpnp-pc NPPES

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

CATHERINE MARTIN CPNP-PC (NPI 1407511645) is an individual pediatrics provider in Conyers, Georgia, licensed in Georgia (RN250059) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1407511645
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCATHERINE MARTINCredential: CPNP-PC
Location Address1506 KLONDIKE RD SW STE 205Conyers, GA 30094-5173
Mailing Address3801 Whitney PlDuluth, GA 30096-3153 · (404) 729-2643
Fax(678) 750-4005
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
NPI 1407511645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN250059
1506 KLONDIKE RD SW STE 205, Conyers, GA 30094

Other Identifiers 1

Medicaid003272832AGA

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.

Allergy & Immunology
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Family Medicine
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Nurse Practitioner (Family)
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Pediatrics
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094
Pediatrics
1506 KLONDIKE RD SW STE 205
CONYERS, GA 30094

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 Catherine Martin's NPI number?

The NPI number for Catherine Martin is 1407511645. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Catherine Martin located?

Catherine Martin practices at 1506 Klondike Rd SW Ste 205, Conyers, GA 30094. The listed phone number is (678) 750-4000.

What is Catherine Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Catherine Martin was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.