DR. FONDA D MARTIN (M.D.) – Obstetrics & Gynecology Physician, NPI 1104187046

DR. FONDA D MARTIN (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 67101 (GA). The NPI Number for DR. FONDA D MARTIN (M.D.) is 1104187046

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. FONDA D MARTIN (M.D.)
NPI
1104187046
Phone
(770) 528-0260
Address
833 CAMPBELL HILL ST NW
Enumeration Date
7 June 2012
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705280260
Graduation Year
2008 (18 years ago)
PAC ID
9638470776
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20151215002371
Address ID
GA300601147MA833XXSTXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for DR. FONDA D MARTIN (M.D.)

  • 833 CAMPBELL HILL ST NW

    SUITE 400

    MARIETTA, GA 300601134

    Phone: (770) 528-0260

    Fax: (770) 528-0269

    Type: Mailing

  • 1000 N Oak Ave

    Marshfield, WI 544495703

    Phone: (715) 387-5511

    Type: Location

  • 2970 CLAIRMONT RD NE STE 903

    BROOKHAVEN, GA 303294402

    Phone: (404) 334-0003

    Fax: (404) 334-0224

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($152).

Total Amount

$451

General + Research + Ownership

Payments

22

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151215002371IObstetrics/GynecologyGATBD
I20241213002519IObstetrics/GynecologyWATBD
I20260121001253IObstetrics/GynecologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
Family PracticeGA
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

How is DR. FONDA D MARTIN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. FONDA D MARTIN (M.D.) with NPI 1104187046.
Does the file indicate DR. FONDA D MARTIN (M.D.) is practicing under active NPI?
Directory data currently reports DR. FONDA D MARTIN (M.D.) as active.
What is DR. FONDA D MARTIN (M.D.)'s specialty?
The listing groups DR. FONDA D MARTIN (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. FONDA D MARTIN (M.D.) based?
DR. FONDA D MARTIN (M.D.) is tied to Marietta, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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