Active NPI
Nick Martyn, M.D.
- Family Medicine Physician
- Portsmouth, VA
National Provider Identifier
1225241573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101246207
- Practice address
- 620 John Paul Jones Cir
Family Medicine Clinic.Naval Medical Center, Portsmouth
Portsmouth, VA 23708-2111 - Phone
- (757) 953-0515
- Fax
- (757) 953-1760
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101246207 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Family Medicine Clinic.Naval Medical Center, Portsmouth
Portsmouth, VA 23708-2111
Mailing address
620 John Paul Jones Cir
Family Medicine Clinic.Naval Medical Center, Portsmouth
Portsmouth, VA 23708-2111
Phone (757) 953-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121000387 | NY | Practitioner - Family Practice | 1456625128 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101246207 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1225241573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "FAMILY MEDICINE CLINIC.NAVAL MEDICAL CENTER, PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-0515",
"fax_number": "757-953-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "FAMILY MEDICINE CLINIC.NAVAL MEDICAL CENTER, PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-0515",
"fax_number": "757-953-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYN",
"first_name": "NICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101246207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
- Paxton Thomas Martin
- Tamara Martin, CRNA
- Wayne A. (Initial Only) Martin, L.C.S.W.
- Jill Martini, D.O.
- Carol Martins, CRNA
- Kastley Marvin
- Maryview Hospital (Western Branch OB/GYN)
- Maryview Hospital (Bon Secours Palliative Medicine)
- Maryview Hospital (Tri-Cities Medical Associates)
- Maryview Hospital (Airline Boulevard Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.