Jamie Martin, PA-C – Physician Assistant in Hardy, VA

Key facts

NPI: 1013330877
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 0110004453 (VA)
Practice address: 278 Westlake Rd
Hardy, VA 24101-3967
Phone: (540) 759-7500
Fax: (540) 759-7501
NPI assigned: Jan 30, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Forefront Dermatology, S.C. Dermatology Physician · Vienna, VA · NPI 1891169975

Medicare reassignment NPD VA
Forefront Dermatology, S.C. Dermatology Physician · Columbus, OH · NPI 1063365385

NPD

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Forefront Dermatology SC (650 clinicians)

Practice addresses (Care Compare)

278 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 759-7500

5201 Hickory Park Dr
Suite a
Glen Allen, VA 23059-2623
Phone (804) 262-6060

Merit-based Incentive Payment System (MIPS)

Final score: 97.45 of 100 (group)
Promoting interoperability: 97
Improvement activities: 40

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140611002132	VA	Practitioner - Physician Assistant	6305060435	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Forefront Dermatology, S.C.		Current since Aug 11, 2020	Accepting new patients
Forefront Dermatology, S.C.		Current since Aug 11, 2020	Accepting new patients

Locations

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

278 Westlake Rd
Hardy, VA 24101
Phone (540) 759-7500

101 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 363-4190

101 Candlewood Ct
#A
Lynchburg, VA 24502

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

Direct secure messaging: jamie.martin@forefrontdermatology.emadirect.md

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	0110004453	VA	Yes

Addresses

Primary practice location

278 Westlake Rd
Hardy, VA 24101-3967

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	Jamie.Martin@forefrontdermatology.emadirect.md

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2024.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1013330877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 WESTLAKE RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013967",
            "telephone_number": "540-759-7500",
            "fax_number": "540-759-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jamie.Martin@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 Westlake Rd",
            "city": "Hardy",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241013967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hardy, VA

All providers in Hardy, VA · Physician Assistant in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.