Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Davis Martin, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104533892

Charles Davis Martin, FNP-C is a Nurse Practitioner in Augusta, Georgia. Qualified in 2022, 4 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN250185 (GA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence RN250185 (GA)

Record details

NPI number1104533892
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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