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MRS. JACQUELYN HAIRSTON MARTIN C-FNP
NPI 1659434876
Nurse Practitioner - Family in Riverdale, GA

Active since December 19, 2006
94.05/100
CMS Quality Rating
107 UPPER RIVERDALE RD SW, SUITE B, RIVERDALE, GA 30274(770) 692-2800(770) 692-2804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacquelyn Hairston Martin C-fnp NPPES

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

MRS. JACQUELYN HAIRSTON MARTIN C-FNP (NPI 1659434876) is an individual family provider in Riverdale, Georgia, licensed in Georgia (RN052052) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1659434876
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELYN HAIRSTON MARTINCredential: C-FNP
Location Address107 UPPER RIVERDALE RD SW, SUITE BRiverdale, GA 30274-2540
Mailing Address2746 Dodson Lee DrEast Point, GA 30344-3960 · (404) 346-1330
Phone(770) 692-2800
Fax(770) 692-2804
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659434876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN052052
107 UPPER RIVERDALE RD SW, Riverdale, GA 30274
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ESTATE CLINICS BY CMG
Internal Medicine
107 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 997-2160
INFINITY BEHAVIORAL SERVICES, LLC
Behavior Analyst
107 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 450-5467
CAYLA CLARK
Behavior Analyst
107 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 450-5467

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 Jacquelyn Martin's NPI number?

The NPI number for Jacquelyn Martin is 1659434876. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Jacquelyn Martin located?

Jacquelyn Martin practices at 107 Upper Riverdale Rd SW Suite B, Riverdale, GA 30274. The listed phone number is (770) 692-2800.

What is Jacquelyn Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.