Jason Lloyd Martin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902498 Issued in MS

Practice address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762

Phone

(662) 287-7138

Fax

(662) 287-7157

NPI assigned

Jan 25, 2018

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Magnolia Regional Health Center

  dba Magnolia Express Care

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1649721457
  Medicare reassignment NPD
• Physicians Urgent Care of Corinth, LLC

  dba Urgent Care of Corinth

  • General Practice Physician
  • Corinth, MS
  • NPI 1316059405
  Medicare reassignment NPD
• Physicians Urgent Care of Corinth, LLC

  • Durable Medical Equipment & Medical Supplies
  • Booneville, MS
  • NPI 1942032297
  NPD
• Nathan W Baldwin MD PA

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1003956459
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1245738244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST STE 100",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-554-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291314",
            "country_code": "US",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JASON",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09136238",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Lucinda Manahan, M.S., CCC-SLP
• Srijana K Mandal
• William L Marcy, M.D.
• Kimberly Kuykendall Marlar, FNP
• Lydia Gayle Marshall
• Shaylyn Marvell, MD
• David Mason, MS
• Raymond Lafayette Mathis, PHARM.D.
• Stephanie Mathis, PHARM.D.
• Shametra Lashelle Matthews

• Family Nurse Practitioner in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.