Active NPI
Martin Vincent Taormina, M.D.
- Vascular Surgery Physician
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 23865
- Practice address
- 986 Wellness Way Ste 330
Fort Mill, SC 29715-7353 - Phone
- (803) 265-3986
- Fax
- (803) 752-0101
- NPI assigned
- Mar 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9601496 | NC | |
| Vascular Surgery Physician | 2086S0129X | 9601496 | NC | |
| Vascular Surgery Physician | 2086S0129X | 23865 | SC | Primary |
Addresses
Primary practice location
986 Wellness Way Ste 330
Fort Mill, SC 29715-7353
Mailing address
1721 Ebenezer Rd
Suite 115
Rock Hill, SC 29732-4103
Phone (803) 985-4000
Other practice location 1
115 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4400
Other practice location 2
1721 Ebenezer Rd
Suite 115
Rock Hill, SC 29732-4103
Phone (803) 985-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3758 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
986 Wellness Way
Suite 330
Fort Mill, SC 29715-7353
Phone (803) 324-3500
Hospital & facility affiliations
- Piedmont Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23865 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Sentara Medical Group | Vascular Surgery | Current | Accepting new patients |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Piedmont General Surgery Associates, LLC | Surgery | Past | Accepting new patients |
| Piedmont Carolina Vascular Surgery, LLC | Vascular Surgery | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555
Interoperability endpoints
- martin.taormina.1@14929.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Vascular Surgery Physician
- Rock Hill, SC
- NPI 1790029015
-
- Surgery Physician
- Rock Hill, SC
- NPI 1639459027
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1154380350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 EBENEZER RD",
"address_2": "SUITE 115",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297324103",
"telephone_number": "803-985-4000",
"fax_number": "803-985-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 WELLNESS WAY STE 330",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157353",
"telephone_number": "803-265-3986",
"fax_number": "803-752-0101"
}
],
"practiceLocations": [
{
"address_1": "115 Heart Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278348982",
"country_code": "US",
"telephone_number": "252-744-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1721 Ebenezer Rd",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297324103",
"country_code": "US",
"telephone_number": "803-985-4000",
"fax_number": "803-985-4006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAORMINA",
"first_name": "MARTIN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9601496",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "9601496",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "23865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3758",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.