Individual provider Active NPI

Martin Vincent Taormina, M.D.

  • Vascular Surgery Physician
  • Fort Mill, SC
National Provider Identifier
1154380350
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
23865 Issued in SC
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

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GP3758MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090713000335 NC Practitioner - Vascular Surgery 2264519297 Reassigns benefits to 1 organization
I20111114000046 SC Practitioner - Vascular SurgeryPractitioner - General Surgery 2264519297 Reassigns benefits to 1 organization
I20180125001359 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 2264519297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General 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
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

986 Wellness Way
Suite 330
Fort Mill, SC 29715-7353
Phone (803) 324-3500

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23865SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Sentara Medical Group Vascular Surgery CurrentSince Sep 7, 2022 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Aug 1, 2021 Accepting new patients
Piedmont General Surgery Associates, LLC Surgery PastSince Jun 12, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.