Individual provider Active NPI

Martha Anne Yeary, MD

  • Family Medicine Physician
  • Columbia, KY
National Provider Identifier
1194776831
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33351 Issued in KY
Practice address
805 Burkesville St
Columbia, KY 42728-1655
Phone
(270) 384-0233
Fax
(270) 384-0245
NPI assigned
May 15, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 33351 KY
Family Medicine Physician 207Q00000X 33351 KY Primary

Addresses

Primary practice location

805 Burkesville St
Columbia, KY 42728-1655

Mailing address

PO Box 1780
Columbia, KY 42728-6780
Phone (270) 384-0233

Other identifiers 3

IdentifierTypeStateIssuer
64333511MedicaidKY
K008391OtherKYGROUP PTAN
33351OtherKYLICENSE

Other names 1

  • Dr. Martha Anne Yeary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20040701000024 KY Practitioner - Family Practice 1052398740 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33351KYMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions LLC Family Medicine CurrentSince May 1, 2012 Accepting new patients
North Lexington Urgent Treatment Associates PSC Family Medicine Past Accepting new patients
Parkway Medical Clinic Family Medicine Past Accepting new patients
Genesis Enterprises, Inc. Family Medicine Past Accepting new patients

Locations

805 Burkesville St
Columbia, KY 42728
Phone (270) 384-0233

Interoperability endpoints

  • Direct secure messaging: aburton@hsl-ky.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194776831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1780",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427286780",
            "telephone_number": "270-384-0233",
            "fax_number": "270-384-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281655",
            "telephone_number": "270-384-0233",
            "fax_number": "270-384-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARY",
        "first_name": "MARTHA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "33351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64333511",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "K008391",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33351",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "YEARY",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.