MR. JESSE Q. MARTIN PA-C
NPI 1609174093
Physician Assistant - Medical in Cartersville, GA

Q: What is Jesse Martin's NPI number?

The NPI number for Jesse Martin is 1609174093. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Q: What is Jesse Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Martin was last updated on June 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2011PECOS Enrolled

100 MARKET PLACE BLVD, SUITE 200, CARTERSVILLE, GA 30121(770) 386-7253(770) 382-6424 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Jesse Q. Martin Pa-c NPPES

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

MR. JESSE Q. MARTIN PA-C (NPI 1609174093) is an individual medical provider in Cartersville, Georgia, licensed in Georgia (006066) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609174093

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JESSE Q. MARTINCredential: PA-C

Location Address100 MARKET PLACE BLVD, SUITE 200Cartersville, GA 30121-8718

Mailing Address1700 Hospital South Dr, Suite 300Austell, GA 30106-6810 · (770) 944-2830 · Fax (678) 581-7170

Phone(770) 386-7253

Fax(770) 382-6424

Sole ProprietorNo

Enumeration DateMarch 9, 2011

Last NPPES UpdateJune 9, 2011

✔ NPI 1609174093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 006066

100 MARKET PLACE BLVD, Cartersville, GA 30121

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Other Identifiers 1

Other1609174093GA · Npi Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse Q. Martin Pa-c 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.