Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gerald S Martin, NP

Individual provider Family Nurse Practitioner · NPI 1770014748

Gerald S Martin, NP is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2016, 10 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

404 S Lewis Ln
Carbondale, IL 62901-3547
Phone: (618) 519-9200
Fax: (618) 549-1288
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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 209015754 (IL)

Record details

NPI number1770014748
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address109 California St, Po Box 577, Carterville, IL 62918

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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