Active NPI
Eduardo Martinez, M.D.
- Pulmonary Disease Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 078129
- Practice address
- 3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478 - Phone
- (706) 549-5560
- Fax
- (706) 543-2593
- NPI assigned
- Aug 7, 2012
- Reactivated
- Jun 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 078129 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 078129 | GA | Primary |
Addresses
Primary practice location
3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Mailing address
3320 Old Jefferson Rd 200a
Athens, GA 30607
Phone (706) 549-5560
Other practice location 1
506 Lenox Ave # 14-103
New York, NY 10037-1802
Phone (212) 939-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20170821003232 | GA | Practitioner - Pulmonary Disease | 7012289382 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Athens Pulmonary and Allergy, P.C.
Practice addresses (Care Compare)
3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone 7065495560223
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
- St Mary'S Hospital
- St Marys Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.71 of 100
- Quality
- 73.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078129 | GA | MD | Pulmonary Disease Physician |
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
-
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265789366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD 200A",
"city": "ATHENS",
"state": "GA",
"postal_code": "30607",
"telephone_number": "706-549-5560",
"fax_number": "706-543-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD STE 200A",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071478",
"telephone_number": "706-549-5560",
"fax_number": "706-543-2593"
}
],
"practiceLocations": [
{
"address_1": "506 Lenox Ave # 14-103",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100371802",
"country_code": "US",
"telephone_number": "212-939-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDUARDO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-07",
"last_updated": "2022-07-21",
"certification_date": "2020-06-11",
"deactivation_date": "2020-06-01",
"reactivation_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "078129",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "078129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.