Individual provider Active NPI

Christian E Martin, MD

  • Family Medicine Physician
  • Shelby, NC
National Provider Identifier
1346286366
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200100413 Issued in NC
Practice address
520 N Dekalb St Ste B
Shelby, NC 28150-4191
Phone
(704) 484-8001
Fax
(704) 484-2485
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200100413 NC Primary

Addresses

Primary practice location

520 N Dekalb St Ste B
Shelby, NC 28150-4191

Mailing address

520 N Dekalb St Ste B
Shelby, NC 28150-4191
Phone (704) 484-8001

Other practice location 1

113 East Grover St
Shelby, NC 28150
Phone (704) 487-5228

Other practice location 2

113 East Grover St
Shelby, NC 28150
Phone (704) 487-5228

Other identifiers 2

IdentifierTypeStateIssuer
89126G9MedicaidNC
1282MOtherNCBCBS OF NC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000518 NC Practitioner - Family Practice 2163451550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

520 N Dekalb St
Shelby, NC 28150-4188

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

910 E Church St
Cherryville, NC 28021-2968

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Primary Care Group, PA Family Medicine Current Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Jun 12, 2017 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Jun 12, 2017 Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Hopscotch Primary Care, PLLC Family Medicine Past Accepting new patients
Caromont Medical Group Inc Family Medicine Past Accepting new patients

Locations

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

520 N DeKalb St
Ste B
Shelby, NC 28150
Phone (704) 484-8001

113 E Grover St
Shelby, NC 28150
Phone (704) 487-5228

520 N DeKalb St
Shelby, NC 28150
Phone (704) 480-0222

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346286366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N DEKALB ST STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504191",
            "telephone_number": "704-484-8001",
            "fax_number": "704-484-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N DEKALB ST STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504191",
            "telephone_number": "704-484-8001",
            "fax_number": "704-484-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 East Grover St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "28150",
            "country_code": "US",
            "telephone_number": "704-487-5228",
            "fax_number": "704-484-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 East Grover St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "28150",
            "country_code": "US",
            "telephone_number": "704-487-5228",
            "fax_number": "704-484-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTIAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200100413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126G9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1282M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.