MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) – Physician Assistant, NPI 1740447986

MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MMS. They hold a License No. 005307 (GA). The NPI Number for MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) is 1740447986

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS)
NPI
1740447986
Phone
(706) 549-8306
Address
195 KING AVE
Enumeration Date
16 May 2008
Last Update Date
29 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065498306
Graduation Year
2007 (19 years ago)
PAC ID
9436220985
Group Practice PAC ID
2668463290
Professional Enrollment ID
I20080612000471
Address ID
GA306777314WA1357XCONN301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS)

  • 195, King Avenue, Boulevard, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 30606

    Phone: (706) 549-8306

    Fax: (706) 549-8351

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $2,208.

Total Amount is formed as General ($2,208) + Research ($0) + Ownership ($0) = $2,208.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Penumbra, Inc. ($649).

Total Amount

$2,208

General + Research + Ownership

Payments

60

Total payment records

General Amount

$2,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2008-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080612000471IPhysician AssistantGATBD

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 30606)

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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: 2668463290View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Vascular SurgeryMA
Physician AssistantGA
General SurgerySC
Physician AssistantTN
Vascular Surgery, General SurgeryGA
General Surgery, Vascular SurgeryGA
Physician AssistantGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

Does MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) uses 1740447986.
Can I rely on MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) being an active provider?
As of the registry snapshot, MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) is marked active.
What taxonomy line describes MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS)?
For research purposes, treat MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) based?
MRS. AMANDA STEPHANIE MARTIN (PA-C, MMS) is tied to Athens, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.