STEPHANIE AILIS MARTIN
NPI 1487430757
Counselor - Mental Health in Bullock, NC
About Stephanie Ailis Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE AILIS MARTIN (NPI 1487430757) is an individual mental health provider in Bullock, North Carolina, licensed in North Carolina (P018296) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Ailis Martin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarksville, VA 23927
- Reassigned Medicare billing, Virginia enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stephanie Martin's NPI number?
The NPI number for Stephanie Martin is 1487430757. It was assigned to this individual provider in the NPPES registry on September 4, 2023.
Where is Stephanie Martin located?
Stephanie Martin practices at 9553 Whippoorwill Ridge Rd, Bullock, NC 27507. The listed phone number is (434) 774-5505.
What is Stephanie Martin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stephanie Martin enrolled in Medicare?
Yes. Stephanie Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephanie Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Martin reassigns Medicare benefits to Southside Behavioral Health (Clarksville, VA). 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 Stephanie Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Martin accept?
Health plans from Oscar Health list Stephanie Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stephanie Martin was last updated on September 4, 2023. 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.
# Stephanie Ailis Martin · NPI 1487430757
Mental Health provider in Bullock, North Carolina. Individual provider, active in the CMS NPPES registry since September 4, 2023.
## Identity
- **NPI:** 1487430757 (Entity type: Individual)
- **Enumerated:** September 4, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P018296 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9553 WHIPPOORWILL RIDGE RD, Bullock, NC 27507-9362
- **Phone:** (434) 774-5505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southside Behavioral Health (NPI 1700890761, Clarksville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1487430757) · Data from the CMS NPPES public registry.