MYSONYA EARLISA MARTIN NP
NPI 1891474300
Nurse Practitioner - Family in Bowman, GA

Q: What is Mysonya Martin's NPI number?

The NPI number for Mysonya Martin is 1891474300. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Q: What is Mysonya Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mysonya Martin was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since July 12, 2023PECOS EnrolledAccepts Medicare Assignment

206 E CHURCH ST, BOWMAN, GA 30624(706) 245-7361 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Jul 12, 2023 (2 updates tracked since 2023).

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About Mysonya Earlisa Martin Np NPPES

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

MYSONYA EARLISA MARTIN NP (NPI 1891474300) is an individual family provider in Bowman, Georgia, licensed in Georgia (APRN-NP160091) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891474300

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMYSONYA EARLISA MARTINCredential: NP

Location Address206 E CHURCH STBowman, GA 30624-2109

Mailing Address206 E Church StBowman, GA 30624-2109 · (706) 245-7361

Phone(706) 245-7361

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 12, 2023

Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1891474300 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 · APRN-NP160091

206 E CHURCH ST, Bowman, GA 30624

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mysonya Earlisa Martin Np 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.

PECOS PAC ID749640779

PECOS Enrollment IDI20230721001419

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

TOMMY C BEESON MD

Family Medicine