Active NPI
John Lloyd Martin
- Family Medicine Physician
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29293
- Practice address
- 7148 U S Highway 98 Ste 101
Hattiesburg, MS 39402-9133 - Phone
- (601) 261-1500
- Fax
- (601) 579-5240
- NPI assigned
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29293 | MS | Primary |
Addresses
Primary practice location
7148 U S Highway 98 Ste 101
Hattiesburg, MS 39402-9133
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7283
Phone (601) 261-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220730000148 | MS | Practitioner - Family Practice | 2567797129 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- Enhabit Home Health & Hospice
- Forrest General Home Care
- Mississippi Homecare of Richton
- Forrest General Hospital
- Merit Health Wesley
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29293 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
7148 U S Highway 98
Ste 101
Hattiesburg, MS 39402
Phone (601) 226-1150
Interoperability endpoints
- jmartin44314@directpatientrecord.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laurel, MS
- NPI 1245263540
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
-
- Home Health Agency
- Richton, MS
- NPI 1770521072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1114489507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017283",
"telephone_number": "601-261-1500",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7148 U S HIGHWAY 98 STE 101",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394029133",
"telephone_number": "601-261-1500",
"fax_number": "601-579-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOHN",
"middle_name": "LLOYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "29293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.