Active NPI
Jennifer Lee Martin, D.O.
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OP61602960
- Practice address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900 - Phone
- (253) 761-4200
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT016512 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 39092 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 100138 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | OP61602960 | WA | Primary |
Addresses
Primary practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Mailing address
PO Box 751461
Charleston, SC 29425-3230
Phone (843) 792-6200
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-3230
Phone (843) 792-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Desmond Dr
Decatur, GA 30033-4101
Phone (253) 761-4200
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016512 | PA | MD | Internal Medicine Physician |
| 39092 | SC | MD | Rheumatology Physician |
| 100138 | GA | MD | Diagnostic Radiology Physician |
| OP61602960 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Diagnostic Radiology | Current | Accepting new patients |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Tra-Minw P S | Current | Accepting new patients | |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307
222 15th Ave SE
Puyallup, WA 98372
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
5919 100th St SW
Tacoma, WA 98499
Interoperability endpoints
- jmartin1119945@direct.emory.org
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
GA
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Diagnostic Radiology Physician
- Cartersville, GA
- NPI 1134984982
-
- Diagnostic Radiology Physician
- Cartersville, GA
- NPI 1174572374
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1760636930
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1003295239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294253230",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021900",
"telephone_number": "253-761-4200"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294253230",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT016512",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "39092",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "100138",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "OP61602960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.