Active NPI
Guy Wayne Martin, BC-HIS
- Hearing Instrument Specialist
- Millbrook, AL
National Provider Identifier
1003254954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 4078
- Practice address
- 2588 Main St
Millbrook, AL 36054-3849 - Phone
- (334) 285-5544
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 4078 | AL | Primary |
Addresses
Primary practice location
2588 Main St
Millbrook, AL 36054-3849
Mailing address
PO Box 768
Millbrook, AL 36054-0016
Phone (334) 285-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-50063 | Other | AL | BC/BS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4078 | AL | MD | Speech-Language Pathologist |
Networks
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- MS PPO C-SNP
- MS PPO D-SNP
- AL HMO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO D-SNP
- FL PPO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- TN PPO C-SNP
- MS PPO
- TN PPO
Interoperability endpoints
- https://api.platform.athenahealth.com/17953/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1003254954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360540016",
"telephone_number": "334-285-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2588 MAIN ST",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360543849",
"telephone_number": "334-285-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GUY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "4078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF ALABAMA",
"identifier": "510-50063",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millbrook, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.