Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003363201 Individual Practitioner Female Practitioner

Shelley Charmaine Martin , CNP

Nurse Practitioner • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Shelley Martin, CNP is a registered healthcare professional specializing in Nurse Practitioner in Gainesville, GA. Practice services are available at 1240 JESSE JEWELL PKWY SE STE 500 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1240 Jesse Jewell Pkwy Se Ste 500

Gainesville, GA 305013861

Telephone 7705369864
Fax 7702975025
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
42 Specialists

Practicing in Gainesville, GA (3149 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 30 $256.00 $98.44

Medical Specialties & State Licenses

CMS Verified: 2023-12-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA GAA-NP001186

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License AL 1-086060

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License AL 1-086060

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
226376 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Terri Kemmerer , CNP

Nurse Practitioner - Family

NPI 1013199587

Certified Nurse Practitioner

NPI 1033112958

Doctor of Medicine (M.D.)

Dr. Matthey Harris , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1043213176

Doctor of Medicine (M.D.)

Dr. Joseph West , MD

Internal Medicine - Pulmonary Disease

NPI 1043375025

Doctor of Medicine (M.D.)

Melissa Summerlin , NP-C

Nurse Practitioner - Adult Health

NPI 1043519671

Nurse Practitioner (Certified)

Dr. Craig Brown , MD

Internal Medicine - Critical Care Medicine

NPI 1063680882

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
👤
Provider Name / Credentials Updated December 12, 2023

Recorded as SHELLEY MARTIN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2023

Nurse Practitioner (License #1-086060 in AL)

📍
Updated Practice Location February 01, 2023

Registered at 1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 305013861 (Tel: 7705369864)

📍
Updated Business Mailing Address February 01, 2023

Registered at 1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 305013861 (Tel: 7705369864)

📍
Updated Business Mailing Address December 27, 2021

Registered at 12701 PADGETT SWITCH RD, IRVINGTON, AL 365444011 (Tel: 2518242174)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2021

Nurse Practitioner (License #1-086060 in AL)

📍
Updated Practice Location February 18, 2019

Registered at 12701 PADGETT SWITCH RD, IRVINGTON, AL 365444011 (Tel: 2518242174)

📍
Updated Business Mailing Address February 18, 2019

Registered at 12917 WALTER LEE CIR N, GRAND BAY, AL 365415030

📍
Updated Practice Location May 28, 2018

Registered at 3 MOBILE INFIRMARY CIR STE 410, MOBILE, AL 36607 (Tel: 2514333344)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2018

Nurse Practitioner (License #1-086060 in AL)

NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2016

Registered at 3 MOBILE INFIRMARY CIR, SUITE 410, MOBILE, AL 366073520 (Tel: 2514333344)

📍
Updated Business Mailing Address September 06, 2016

Registered at PO BOX 7987, MOBILE, AL 366700987 (Tel: 2514333344)

👤
Provider Name / Credentials Updated September 06, 2016

Recorded as SHELLEY DAY, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Nurse Practitioner (License #1-086060 in AL)

🟢
Initial NPI Registration & Enumeration September 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003363201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2016
Last Update: December 12, 2023
Sole Proprietor: No

Mailing Address

1240 Jesse Jewell Pkwy Se Ste 500

Gainesville, GA 305013861

Phone: 7705369864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.