NPIMap

Individual provider Active NPI

George E Martinez, MD

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1073507828
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047982 Issued in GA
Practice address
750 N Cobb St
Ste 120
Milledgeville, GA 31061-2390
Phone
(478) 452-5515
Fax
(478) 452-5517
NPI assigned
Sep 8, 2005
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047982 GA Primary

Addresses

Primary practice location

750 N Cobb St
Ste 120
Milledgeville, GA 31061-2390

Mailing address

PO Box 28650
Macon, GA 31221-8650
Phone (478) 452-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000341 GA Practitioner - Internal Medicine 6709779796 Reassigns benefits to 1 organization
Practice locations: Milledgeville, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

750 N Cobb St
Suite 120
Milledgeville, GA 31061-7167
Phone (478) 452-5515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047982GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Martinez Office of Internal Medicine LLC Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

750 N Cobb St
Ste 120
Milledgeville, GA 31061
Phone (478) 452-5515

Interoperability endpoints

  • Direct secure messaging: george.martinez@oconeeregional.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1073507828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28650",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218650",
            "telephone_number": "478-452-5515",
            "fax_number": "478-452-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "address_2": "STE 120",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-452-5515",
            "fax_number": "478-452-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.