Healthcare Provider Details

I. General information

NPI: 1952018822
Provider Name (Legal Business Name): ALANA MARTIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER RD NW STE 2045
ATLANTA GA
30309-1723
US

IV. Provider business mailing address

840 UNITED AVE SE UNIT 204
ATLANTA GA
30312-3684
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN289137
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN289137
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: