EBONY MARTIN
NPI 1689217812
Case Manager/Care Coordinator in Jackson, MS

Active since October 21, 2019
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Martin NPPES

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

EBONY MARTIN (NPI 1689217812) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1689217812
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY MARTIN
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454
Sole ProprietorNo
Enumeration DateOctober 21, 2019
NPI 1689217812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3502 W NORTHSIDE DR, Jackson, MS 39213

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213

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 Ebony Martin's NPI number?

The NPI number for Ebony Martin is 1689217812. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Ebony Martin located?

Ebony Martin practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Ebony Martin's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ebony Martin was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.