George Randolph Martin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101238825 Issued in VA

Practice address

4944 Greensboro Rd
Ridgeway, VA 24148-3390

Phone

(276) 956-2233

Fax

(276) 956-1629

NPI assigned

Oct 27, 2006

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Commonwealth of Virginia Department of Behavioral Health and Southern

  dba Southern Virginia Mental Health Institute

  • Hospitalist Physician
  • Danville, VA
  • NPI 1386704898
  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1154407732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 GREENSBORO RD",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241483390",
            "telephone_number": "276-956-2233",
            "fax_number": "276-956-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 GREENSBORO RD",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241483390",
            "telephone_number": "276-956-2233",
            "fax_number": "276-956-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GEORGE",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101238825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Health and Healing Inc
• Horsepasture Rescue Squad, Inc
• Jennifer Sheridan Humphrey, MSN, FNP-BC
• K&M Care Solutions LLC (Visiting Angels of Martinsville-Danville VA)
• Ashley N Lewis
• Martinsville Henry County Coalition for Health and Wellness (Ridgeway Family Health)
• Maegan Sutphin Nelson, OTR/L
• Chan M Park, M.D.
• Piedmont Preferred Women's Healthcare Associates Inc.
• Leigh Reynolds, NP

• Psychiatry Physician in Ridgeway, VA
• Providers in Ridgeway, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.