Individual provider Active NPI

Jesus Ricardo Martinez, PA-C

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1073990784
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13564 Issued in NC
Practice address
239 Station St
Jacksonville, NC 28546-6304
Phone
(910) 353-0824
Fax
(910) 338-0068
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13564 NC Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

239 Station St
Jacksonville, NC 28546-6304

Mailing address

221A Professional Cir
Morehead City, NC 28557-4303
Phone (252) 726-5767

Other practice location 1

221A Professional Cir
Morehead City, NC 28557-4303
Phone (252) 726-5767

Other practice location 2

Commanding Officer
USS Henry M Jackson (SSBN 730)
Fpo, AP 96698-2105
Phone (954) 243-3337

Other practice location 3

2761 Nc Highway 210 E Ste G
Hampstead, NC 28443-8956
Phone (775) 481-7908

Other practice location 4

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (954) 243-3337

Other practice location 5

4755 Pasture Rd Bldg 299
Fallon, NV 89496-2575
Phone (775) 426-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217000536 NC Practitioner - Physician Assistant 4486184744 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13564NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 19, 2025 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Nov 11, 2024 Accepting new patients

Locations

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1073990784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-726-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-353-0824",
            "fax_number": "910-338-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221A Professional Cir",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285574303",
            "country_code": "US",
            "telephone_number": "252-726-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Commanding Officer",
            "address_2": "USS Henry M Jackson (SSBN 730)",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "966982105",
            "country_code": "US",
            "telephone_number": "954-243-3337",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "2761 Nc Highway 210 E Ste G",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284438956",
            "country_code": "US",
            "telephone_number": "775-481-7908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Brewster Blvd",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472575",
            "country_code": "US",
            "telephone_number": "954-243-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Pasture Rd Bldg 299",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894962575",
            "country_code": "US",
            "telephone_number": "775-426-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESUS",
        "middle_name": "RICARDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13564",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.