MS. SANDRA DEE MARTIN FNP-BC NPI 1154826410

NPI Information

  • NPI: 1154826410
  • Provider Name: MS. SANDRA DEE MARTIN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 760 26TH AVE SE
    MOULTRIE, GA
    ZIP 31768
  • Phone: (229) 985-1457

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NPI Details

MS. Sandra Dee Martin, FNP-BC is a family nurse practitioner in Moultrie, GA. MS. Sandra Dee Martin, FNP-BC NPI is 1154826410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

760 26TH AVE SE
MOULTRIE, GA
ZIP 31768-799
Phone: (229) 985-1457
Fax: (229) 890-9430

The NPI 1154826410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN199617GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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