Dr Fonda D Martin, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Brookhaven, Georgia. She went to Meharry Medical College School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Capital Medical Center Specialty Physicians Llc and her current practice location is
2970 Clairmont Rd Ne Ste 903, Brookhaven, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 334-0003.
Dr Fonda D Martin is licensed to practice in Georgia (license number 67101) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104187046.
Physician's Profile
| Full Name | Dr Fonda D Martin |
|---|
| Gender | Female |
|---|
| Speciality | Obstetrics/gynecology |
|---|
| Experience | 18 Years |
|---|
| Location | 2970 Clairmont Rd Ne Ste 903, Brookhaven, Georgia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Fonda D Martin attended and graduated from Meharry Medical College School Of Medicine in 2008
NPI Data:
- NPI Number: 1104187046
- Provider Enumeration Date: 06/07/2012
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638470776
- Enrollment ID: I20241213002519
Medical Identifiers
Medical identifiers for Dr Fonda D Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104187046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 67101 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 67101 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 91 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Fonda D Martin allows following entities to bill medicare on her behalf.
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760785281
PECOS PAC ID: 2567651771
Enrollment ID: O20110104000592 |
|---|
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. Dr Fonda D Martin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Fonda D Martin, MD
2970 Clairmont Rd Ne Ste 903,
Brookhaven, GA 30329-4402
Ph: (404) 334-0003 | Dr Fonda D Martin, MD
2970 Clairmont Rd Ne Ste 903,
Brookhaven, GA 30329-4402
Ph: (404) 334-0003 |
Reviews and Comments