Shelley Charmaine Martin, CNP - Medicare Nurse Practitioner in Gainesville, GA

Shelley Charmaine Martin, CNP is a medicare enrolled "Nurse Practitioner" in Gainesville, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Georgia Diagnostic Associates And Clinic, Llc and her current practice location is 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 536-9864.

Shelley Charmaine Martin is licensed to practice in Georgia (license number GAA-NP001186) 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 1003363201.

Contact Information

Shelley Charmaine Martin, CNP
1240 Jesse Jewell Pkwy Se Ste 500,
Gainesville, GA 30501-3861
(770) 536-9864
(770) 297-5025

Map and Direction




Provider's Profile

Full NameShelley Charmaine Martin
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelley Charmaine Martin graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1003363201
  • Provider Enumeration Date: 09/06/2016
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981984309
  • Enrollment ID: I20230822000724

Medical Identifiers

Medical identifiers for Shelley Charmaine Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003363201NPI-NPPES
226376MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-086060 (Alabama)Secondary
363LG0600XNurse Practitioner - Gerontology 1-086060 (Alabama)Secondary
363L00000XNurse Practitioner GAA-NP001186 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Georgia Diagnostic Associates And Clinic, Llc195165573771

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. Shelley Charmaine Martin allows following entities to bill medicare on her behalf.
Entity NameNortheast Georgia Diagnostic Associates And Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144719311
PECOS PAC ID: 1951655737
Enrollment ID: O20181114000949

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. Shelley Charmaine 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 AddressPractice Location Address
Shelley Charmaine Martin, CNP
1240 Jesse Jewell Pkwy Se Ste 500,
Gainesville, GA 30501-3861

Ph: (770) 536-9864
Shelley Charmaine Martin, CNP
1240 Jesse Jewell Pkwy Se Ste 500,
Gainesville, GA 30501-3861

Ph: (770) 536-9864

Reviews and Comments


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Terri Penna Kemmerer, CNP
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Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501
Phone: 770-536-9864    Fax: 770-297-5025
Bryan Scott Engel, NP-C
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Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501
Phone: 770-297-7277    
Laura J Banner, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501
Phone: 770-219-6520    
Molly Bruce, FNP
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Medicare: Medicare Enrolled
Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501
Phone: 770-297-7277    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.