Individual Healthcare Provider
Stacy A Martin, APRN
Provider's NPPES record last updated: February 29, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1174132435
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Chattahoochee, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 4:20 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- APRN11008224
Practice Locations
Practice Location
100 N Main St
Chattahoochee, Florida 32324-1107
Phone: (850) 793-6863
Additional Practice Location
1798 Georgia St
Alford, Florida 32420-6800
Phone: (850) 526-6727
Fax: (850) 526-1027
Additional Practice Location
4296 5th Ave
Marianna, Florida 32446-2173
Phone: (850) 482-2061
Fax: (850) 633-5911
Additional Practice Location
4896 Highway 90 Ste A
Marianna, Florida 32446-7840
Phone: (850) 526-6700
Fax: (850) 526-6701
Record Information
- Enumeration Date
- July 23, 2020
- Provider's NPPES Record Last Updated
- February 29, 2024
- Certification Date
- February 29, 2024
- NPISignal NPPES Dataset
- August 2026
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