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

Lacey Marie Martin, PA-C

Individual provider Physician Assistant · NPI 1639887011

Lacey Marie Martin, PA-C is a Physician Assistant in Casper, Wyoming. Graduated from Southern College of Medicine and Surgery in 2022, 4 years ago. Practices with Gastroenterology Associates, LLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Wyoming.

Years since qualifying
4
Trained at
Southern College of Medicine and Surgery
Licensed in
GA, WY
In the registry since
2022
Specialties on file
2
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

1441 Wilkins Cir
Casper, WY 82601-1337
Phone: (307) 233-2700
Fax: (307) 472-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 Sugar Mill Dr, Savannah, GA 31419-9437 — (706) 614-6168

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1061 (WY)
Physician Assistant Taxonomy 363A00000X · Licence 1195040 (GA)

Record details

NPI number1639887011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN COLLEGE OF MEDICINE AND SURGERY
Graduated 2022 (4 years in practice)
Group practice Gastroenterology Associates, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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