Individual provider Active NPI

Kevin C Martin, PA-C

  • Surgical Physician Assistant
  • Morehead City, NC
National Provider Identifier
1215035779
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
101545 Issued in NC
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

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000010 NC Practitioner - Physician Assistant 3779624523 Reassigns benefits to 2 organizations

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
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

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 Hospital, Morehead City, NC, CCN 340142

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as group
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

LicenseStateTypeSpecialty
101545NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Mar 15, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.