MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) – Family Nurse Practitioner, NPI 1659434876

MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) is a healthcare provider. based in Riverdale, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials C-FNP. They hold a License No. RN052052 (GA). The NPI Number for MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) is 1659434876

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELYN HAIRSTON MARTIN (C-FNP)
NPI
1659434876
Phone
(770) 692-2800
Address
107 UPPER RIVERDALE RD SW
Enumeration Date
19 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6787321524
Graduation Year
1998 (28 years ago)
PAC ID
1557448693
Group Practice PAC ID
8921176231
Professional Enrollment ID
I20080414000340
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. JACQUELYN HAIRSTON MARTIN (C-FNP)

  • 107, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30236, United States

    SUITE B

    RIVERDALE, GA 302742540

    Phone: (770) 692-2800

    Fax: (770) 692-2804

    Type: Location

  • 2746, Dodson Lee Drive, Atlanta, Fulton County, Georgia, 30344, United States

    EAST POINT, GA 303443960

    Phone: (404) 346-1330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30274)

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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: 8921176231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerSC
Nurse PractitionerGA
Family Practice, General PracticeGA
Physician AssistantSC
-GA
General Practice, Family PracticeSC
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to MRS. JACQUELYN HAIRSTON MARTIN (C-FNP)?
The federal identifier for MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) is NPI 1659434876.
Is MRS. JACQUELYN HAIRSTON MARTIN (C-FNP)'s NPI currently valid?
The extract we use shows MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) as active.
Can you summarize MRS. JACQUELYN HAIRSTON MARTIN (C-FNP)'s specialty in plain language?
Clinically, the directory lists MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) practice in Georgia?
You will see Riverdale, Georgia on file for MRS. JACQUELYN HAIRSTON MARTIN (C-FNP) alongside any extra practice locations.
What if Riverdale, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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