Individual provider Active NPI

Jeffrey Scott Martin, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1194814632
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102353 Issued in NC
Practice address
608 Dawson St
Suite 103
Wilmington, NC 28401-5712
Phone
(910) 667-0041
Fax
(910) 667-0019
NPI assigned
Oct 12, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102353 NC Primary

Addresses

Primary practice location

608 Dawson St
Suite 103
Wilmington, NC 28401-5712

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000243 NC Practitioner - Physician Assistant 2466416847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians

Practice addresses (Care Compare)

3009 Medical Plaza LN
Southport, NC 28461-5194
Phone (910) 457-3827

821 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-3827

823 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-3827

906 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102353NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J Arthur Dosher Memorial Hospital CurrentSince Jun 22, 2015 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jun 22, 2015 Accepting new patients
Shoreview Medical Associates, PLLC Past Accepting new patients
Dawson Med PC PastSince Jun 11, 2021 Accepting new patients

Locations

4222 Long Beach Rd SE
Southport, NC 28461
Phone (910) 269-2053

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

823 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

905 N Howe St
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24025/brand/2/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1194814632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3811",
            "fax_number": "910-667-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 DAWSON ST",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015712",
            "telephone_number": "910-667-0041",
            "fax_number": "910-667-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.