Active NPI
Gina Abbruzzi Martin, MD
- Emergency Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2001-00293
- Practice address
- 14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896 - Phone
- (803) 434-1663
- Fax
- (803) 434-3894
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2001-00293 | NC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 716-2255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5866855 | Medicaid | VA | |
| 89129E5 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00293 | NC | MD | Dermatology Physician |
| 2001-00293 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Prisma Health-Midlands | Emergency Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Morehead Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Wake Forest University Health Sciences | Emergency Medicine | Past | Accepting new patients |
| Unc Rockingham Health Care, Inc. | Past | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579
1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
1524 Barnwell Hwy
Denmark, SC 29042
Phone (803) 395-3352
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Interoperability endpoints
- gina.martin.1@7602.direct.athenahealth.com
- gmartin413219@direct.ghs.myhfn.org
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Emergency Medicine
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- Emergency Medicine Physician
- Aiken, SC
- NPI 1730636168
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1639590680
-
- General Acute Care Hospital
- Eden, NC
- NPI 1326048810
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1417990276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 350",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036896",
"telephone_number": "803-434-1663",
"fax_number": "803-434-3894"
}
],
"practiceLocations": [
{
"address_1": "1240 Huffman Mill Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272158700",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "GINA",
"middle_name": "ABBRUZZI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2001-00293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5866855",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89129E5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.