Individual provider Active NPI

Michael Lee Martin Sr., M.D.

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1396727574
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21072 Issued in SC
Practice address
4120 Highway 24
Anderson, SC 29626-5321
Phone
(864) 512-5830
Fax
(864) 224-4999
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 21072 SC Primary

Addresses

Primary practice location

4120 Highway 24
Anderson, SC 29626-5321

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5830

Other practice location 1

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

Other identifiers 1

IdentifierTypeStateIssuer
210729MedicaidSC

Other names 1

  • Dr. Michael Lee Martin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200323002914 SC Practitioner - Family Practice 2769663475 Reassigns benefits to 2 organizations
I20250320002125 GA Practitioner - Family Practice 2769663475 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Chatuge Emergency Medical Services, LLCGroup PAC ID 5294003844, 7 clinicians
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Practice addresses (Care Compare)

110 S Main St
Hiawassee, GA 30546-3408
Phone (706) 896-2222

4 Medical Dr
Elberton, GA 30635-1830
Phone (706) 283-3151

Hospital & facility affiliations

  • Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Apr 30, 2025 Accepting new patients
Southland Consolidated Emergency Services, LLC CurrentSince Jan 13, 2025 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince Apr 30, 2025 Accepting new patients
Southland Chatuge Emergency Medical Services, LLC CurrentSince Apr 30, 2025 Accepting new patients
Southland Union Emergency Medical Services, LLC CurrentSince Apr 30, 2025 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 2, 2021 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health CurrentSince Sep 10, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 2, 2021 Accepting new patients
Linda Munro Psy D PA Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

4120 Highway 24
Anderson, SC 29626
Phone (864) 224-4003

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: mmartin44793@direct.anmedhealth.net

Organizations & group practices 11

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 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1396727574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HIGHWAY 24",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265321",
            "telephone_number": "864-512-5830",
            "fax_number": "864-224-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296215704",
            "country_code": "US",
            "telephone_number": "864-512-2000",
            "fax_number": "864-512-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210729",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MARTIN",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.