Individual provider Active NPI

Martha Buchanan, MD

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1043438468
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89785 Issued in SC
Practice address
3685 Rivers Ave
North Charleston, SC 29405-8057
Phone
(865) 215-5313
Fax
(865) 215-5099
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 89785 SC Primary

Addresses

Primary practice location

3685 Rivers Ave
North Charleston, SC 29405-8057

Mailing address

3685 Rivers Ave
North Charleston, SC 29405-8057
Phone (803) 210-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000121 TN Practitioner - Family Practice 4587823828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89785SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox County Government Current Accepting new patients
State of South Carolina CurrentSince Jan 5, 2025 Accepting new patients
Knox County Goverment CurrentSince Jan 1, 2012 Accepting new patients
University Health System Inc Past Accepting new patients

Locations

2100 Bull St
Columbia, SC 29201
Phone (803) 898-1574

3685 Rivers Ave
North Charleston, SC 29405
Phone (843) 801-4058

140 Dameron Ave
Knoxville, TN 37917
Phone (865) 215-5172

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1043438468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058057",
            "telephone_number": "803-210-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058057",
            "telephone_number": "865-215-5313",
            "fax_number": "865-215-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "MARTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "89785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.