Individual provider Active NPI

Jamee Martin, PAC

  • Physician Assistant
  • Germantown, TN
National Provider Identifier
1346659505
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Phone
(901) 252-3400
Fax
(901) 763-4305
NPI assigned
Aug 12, 2014
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759

Mailing address

1325 Wolf Park Dr Ste 103
Germantown, TN 38138-1759
Phone (901) 252-3400

Other practice location 1

6668 Whitten Pine Dr
Memphis, TN 38134-8036
Phone (901) 359-2513

Other practice location 2

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

Other practice location 3

3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150511000082 TN Practitioner - Physician Assistant 5092034249 Reassigns benefits to 9 organizations
I20230714000969 MS Practitioner - Physician Assistant 5092034249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

Practice addresses (Care Compare)

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

1325 Wolf Park Dr
Germantown, TN 38138-1759
Phone 90125234113495

3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
69.4
Promoting interoperability
100
Improvement activities
40
Cost
89.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad Pearson Clinic PC CurrentSince Nov 28, 2022 Accepting new patients
Conrad Pearson Clinic PastSince Jul 9, 2023 Accepting new patients

Locations

125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964

1325 Wolf Park Dr
Ste 102
Memphis, TN 38138
Phone (901) 252-3400

1325 Wolf Park Dr
Ste 103
Memphis, TN 38138

3145 Players Club Pkwy
Memphis, TN 38125
Phone (901) 252-3400

Interoperability endpoints

  • Direct secure messaging: jamee.martin.p1@direct.cpc.nextgenshare.com
  • Direct secure messaging: jmartin27528@mlh.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1346659505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR STE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381759",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6668 Whitten Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381348036",
            "country_code": "US",
            "telephone_number": "901-359-2513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Guthrie Dr",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715829",
            "country_code": "US",
            "telephone_number": "662-349-1964",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3145 Players Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258835",
            "country_code": "US",
            "telephone_number": "901-252-3400",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMEE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.