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ANGELA SUSAN MARTIN M.D.
NPI 1780677591
Obstetrics & Gynecology in Jacksonville, FL

Active since August 26, 2005
100/100
CMS Quality Rating
3627 UNIVERSITY BLVD S, SUITE 200, JACKSONVILLE, FL 32216(904) 296-3200(904) 296-0069 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Jun 14, 2016 (2 updates tracked since 2016).

About Angela Susan Martin M.d. NPPES

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

ANGELA SUSAN MARTIN M.D. (NPI 1780677591) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME 54467) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1780677591
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANGELA SUSAN MARTINCredential: M.D.
Location Address3627 UNIVERSITY BLVD S, SUITE 200Jacksonville, FL 32216-4230
Mailing Address3627 University Blvd S, Suite 200Jacksonville, FL 32216-4230 · (904) 296-3200 · Fax (904) 296-0069
Phone(904) 296-3200
Fax(904) 296-0069
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
✔ NPI 1780677591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME 54467
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3627 UNIVERSITY BLVD S, Jacksonville, FL 32216
Open in Google Maps ↗

Other Identifiers 2

Medicaid047132100FL
Other10352FL · Bcbs

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

AMY LEE DEICHERT MS-SP-CCC
Speech-Language Pathologist
3627 UNIVERSITY BLVD S, SUITE 210
JACKSONVILLE, FL 32216
Duval County (904) 399-5311
FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 340
JACKSONVILLE, FL 32216
Duval County (904) 398-1202
MRS. LUCILE RITA CUENOT ARNP
Nurse Practitioner
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 396-0300
DR. EUGENE RAWSON GRIFFIN III MD
Family Medicine (Geriatric Medicine)
3627 UNIVERSITY BLVD S, STE 615
JACKSONVILLE, FL 32216
Duval County (904) 399-1623
YERGIN PULMONARY CLINIC PA
Internal Medicine (Pulmonary Disease)
3627 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216
Duval County (904) 396-0300
DR. MARWAN M SHAYKH MD
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 450
JACKSONVILLE, FL 32216
Duval County (904) 398-1473
DANIEL C MCDYER MD
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, STE 340
JACKSONVILLE, FL 32216
Duval County (904) 396-3518
DR. BHARAT K MISRA MD
Internal Medicine (Gastroenterology)
3627 UNIVERSITY BLVD S, SUITE 705
JACKSONVILLE, FL 32216
Duval County (904) 398-6718

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 Angela Martin's NPI number?

The NPI number for Angela Martin is 1780677591. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Angela Martin located?

Angela Martin practices at 3627 University Blvd S Suite 200, Jacksonville, FL 32216. The listed phone number is (904) 296-3200.

What is Angela Martin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Angela Martin was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.