Mrs Jenessa Martin, PNP-PC is a
Nurse Practitioner - Pediatrics physician based in Atlanta, Georgia. Mrs Jenessa Martin is licensed to practice in Georgia (license number RN264795) and her current practice location is 5730 Glenridge Dr Ste 200, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 252-5206.
NPI number for Mrs Jenessa Martin is 1871213850 and her current mailing address is 1930 Brannan Rd, Mcdonough, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871213850.
Physician's Profile
| Full Name | Mrs Jenessa Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 5730 Glenridge Dr Ste 200, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871213850
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 02/09/2023
Medical Identifiers
Medical identifiers for Mrs Jenessa Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871213850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | RN264795 (Georgia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | RN264795 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jenessa Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jenessa Martin, PNP-PC
1930 Brannan Rd,
Mcdonough, GA 30253-4310
Ph: () - | Mrs Jenessa Martin, PNP-PC
5730 Glenridge Dr Ste 200,
Atlanta, GA 30328-5579
Ph: (404) 252-5206 |
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