Individual provider Active NPI

Martie Lee Price, MD

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1376561324
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200001172 Issued in NC
Practice address
16817 Marvin Rd
Charlotte, NC 28277-2196
Phone
(704) 495-6334
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200001172 NC Primary

Addresses

Primary practice location

16817 Marvin Rd
Charlotte, NC 28277-2196

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other identifiers 4

IdentifierTypeStateIssuer
N0117AMedicaidSC
137CAOtherNCBLUE CROSS BLUE SHIELD
1376561324MedicaidNC
89137CAMedicaidNC

Other names 1

  • Dr. Martie Lee Jewel Former name

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
I20040710000372 NC Practitioner - Dermatology 1850379306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 495-6334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions665
Removal or shaving of skin growth132
Skin biopsy74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC Dermatology CurrentSince Sep 4, 2018 Accepting new patients
Tryon Medical Partners, PLLC PastSince Feb 25, 2024 Accepting new patients

Locations

6060 Piedmont Row Dr S
Fl 6
Charlotte, NC 28287
Phone (704) 489-3094

10635 Park Rd
Ste I
Charlotte, NC 28210
Phone (704) 495-6025

5950 Fairview Rd
Ste 330
Charlotte, NC 28210

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17847/brand/1/csg/1/fhir/r4
  • Direct secure messaging: martie.jewell.1@17847.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1376561324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16817 MARVIN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772196",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARTIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200001172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0117A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "137CA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376561324",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137CA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIE",
            "last_name": "JEWEL",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.