Gregory D Martin, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

037611 Issued in GA

Practice address

3338 Country Club Rd Ste M
Valdosta, GA 31605-1045

Phone

(229) 259-9666

Fax

(229) 253-0064

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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 GA

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

Specialty

General SurgeryAlso: Internal Medicine

Education

Vanderbilt University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greg.martinmd.p3@direct.cvr.nextgenshare.com

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.

• Costal Georgia Vein Center Inc.

  • Vascular Surgery Physician
  • Brunswick, GA
  • NPI 1932218617
  Medicare reassignment NPD Authorized official
• South Georgia Vein Centers LLC

  • Vascular Surgery Physician
  • Valdosta, GA
  • NPI 1669405452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1194782771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051045",
            "telephone_number": "229-259-9666",
            "fax_number": "229-253-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051045",
            "telephone_number": "229-259-9666",
            "fax_number": "229-253-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2444 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204721",
            "country_code": "US",
            "telephone_number": "912-267-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "037611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasa Marozaite, BCBA
• Kimberly Marsh, FNP-BC
• Marsha Jordan Holloway, LLC
• Chryon Martin, LMT, NMT
• Ebonique Martin, LMFT
• Jody Martin, MS BCBA
• Julia Elizabeth Martin, DPT
• Leeann Martin, LCSW
• Patricia Martin
• Taylor Montana Martin, DO

• Surgery Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.