Organization Active NPI

James W Martin MD LLC

  • Family Medicine Physician
  • Covington, TN
National Provider Identifier
1013195767
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34810 Issued in TN
Legal business name
JAMES W MARTIN MD LLC
Practice address
1995 Highway 51 S
Suite 101
Covington, TN 38019-3635
Phone
(901) 476-7371
Fax
(901) 476-7372
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen L MartinNPI 1336139153
Title
Office Manager/ FNP
Phone
(901) 476-7371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 34810 TN Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 34955 KY

Addresses

Primary practice location

1995 Highway 51 S
Suite 101
Covington, TN 38019-3635

Mailing address

1995 Highway 51 S
Suite 101
Covington, TN 38019-3635
Phone (901) 476-7371

Other identifiers 1

IdentifierTypeStateIssuer
3729265OtherTNMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624001058 TN Part B Supplier - Clinic/Group Practice 4880639210 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1041241James W Martin MD LLC1995 Highway 51, South, Covington, TN 38019Provider-performed microscopyMay 25, 2027

National Provider Directory

National Provider Directory

Locations

1995 Highway 51 S
Ste 105
Covington, TN 38019
Phone (901) 476-7371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIAAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013195767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-7371",
            "fax_number": "901-476-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-7371",
            "fax_number": "901-476-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W MARTIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/ FNP",
        "authorized_official_telephone_number": "901-476-7371"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34810",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3729265",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.