NPIMap

Individual provider Active NPI

Martha Jo Christian, MD

  • Internal Medicine Physician
  • Fayette, AL
National Provider Identifier
1336201250
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AL21289 Issued in AL
Practice address
1716 Temple Ave N
Fayette, AL 35555
Phone
(205) 932-2497
Fax
(205) 932-2539
NPI assigned
Dec 15, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL21289 AL Primary

Addresses

Primary practice location

1716 Temple Ave N
Fayette, AL 35555

Mailing address

1716 Temple Ave N
Fayette, AL 35555
Phone (205) 932-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000318 AL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 3870592207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1716 Temple Ave N
Suite 4
Fayette, AL 35555-1309
Phone (205) 932-2497

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as individual
Quality
36.82
Improvement activities
40
Cost
61.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AL21289ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jo Christian MD PC Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Fayette Medical Center Past Accepting new patients
Fayette Medical Center Past Accepting new patients

Locations

1716 Temple Ave N
Fayette, AL 35555
Phone (205) 556-2121

1716 Temple Ave N
Ste 4
Fayette, AL 35555
Phone (205) 932-2497

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1336201250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 TEMPLE AVE N",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "35555",
            "telephone_number": "205-932-2497",
            "fax_number": "205-932-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 TEMPLE AVE N",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "35555",
            "telephone_number": "205-932-2497",
            "fax_number": "205-932-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "MARTHA",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "AL21289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.