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

Individual provider Physician Assistant · NPI 1205709599

Jaycie Madison Martin, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 2025, 1 year ago. Practices with Spine Institute of Louisiana LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 Line Ave Ste 200
Shreveport, LA 71101-4643
Phone: (318) 629-5555
Fax: (318) 629-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 349247 (LA)

Record details

NPI number1205709599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Spine Institute Of Louisiana Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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