Active NPI
Kevin C Martin, PA-C
- Surgical Physician Assistant
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 101545
- Practice address
- 3714 Guardian Ave Ste E
Morehead City, NC 28557-4322 - Phone
- (252) 247-2101
- Fax
- (252) 247-4675
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 101545 | NC | Primary |
Addresses
Primary practice location
3714 Guardian Ave Ste E
Morehead City, NC 28557-4322
Mailing address
3714 Guardian Ave Ste E
Morehead City, NC 28557-4322
Phone (252) 247-2101
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Cedar Point Blvd
Cedar Point, NC 28584-1030
302 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2013
306 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2101
3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013
Hospital & facility affiliations
- Carteret General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.19 of 100
- Quality
- 84.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101545 | NC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carteret County General Hospital Corporation | Current | Accepting new patients |
Locations
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
306 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013
Interoperability endpoints
- kevin.martin.1@15484.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Morehead City, NC
- NPI 1700164464
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1215035779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE STE E",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574322",
"telephone_number": "252-247-2101",
"fax_number": "252-247-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE STE E",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574322",
"telephone_number": "252-247-2101",
"fax_number": "252-247-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KEVIN",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "101545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.