C Gregory Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD51916 Issued in SC

Practice address

3226 Maybank Hwy
Johns Island, SC 29455-4858

Phone

(843) 266-9800

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charles Gregory Martin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1023179504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 GREEN DOLPHIN WAY",
            "city": "KIAWAH ISLAND",
            "state": "SC",
            "postal_code": "294555420",
            "telephone_number": "978-618-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554858",
            "telephone_number": "843-266-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "C",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "45652",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD51916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "MARTIN",
            "middle_name": "GREGORY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brittany Work Mainord, LPC-A
• Michael Malizia, RN
• Cristina Malone, LISW-CP
• Bernard Mansheim, MD
• Derek Scott Maroun, O.D.
• Grace Elizabeth Powell Martz, DPT
• Darlene E Mathis, RPH
• Malori Mattimore, DC
• Elizabeth Lambert McLeod, OTR/L
• Vanessa Lee McPherson, MD

• Internal Medicine Physician in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.