NPIMap

Organization Active NPI

Murphy S. Martin, M.D., PLLC

  • Nephrology Physician
  • Jackson, MS
National Provider Identifier
1295963742
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13968 Issued in MS
Legal business name
MURPHY S. MARTIN, M.D., PLLC
Practice address
1600 N State St
Suite 110
Jackson, MS 39202-1689
Phone
(601) 326-3900
Fax
(601) 326-3903
NPI assigned
Jun 23, 2009
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Amy Grissett
Title
Manager
Phone
(601) 944-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 13968 MS Primary

Addresses

Primary practice location

1600 N State St
Suite 110
Jackson, MS 39202-1689

Mailing address

PO Box 3727
Jackson, MS 39207-3727
Phone (601) 326-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000154 MS Part B Supplier - Clinic/Group Practice 4688712243 Receives reassigned benefits from 9 practitioners
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

1600 N State St
#200
Jackson, MS 39202

1600 N State St
Ste 110
Jackson, MS 39202
Phone (601) 326-3900

1600 N State St
Ste 200
Jackson, MS 39202
Phone (601) 326-3900

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1295963742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392073727",
            "telephone_number": "601-326-3900",
            "fax_number": "601-326-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ST",
            "address_2": "SUITE 110",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021689",
            "telephone_number": "601-326-3900",
            "fax_number": "601-326-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY S. MARTIN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "GRISSETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.