Individual provider Active NPI

Craig M Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Brentwood, TN
National Provider Identifier
1437170974
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48658 Issued in TN
Practice address
1620 Westgate Cir
Brentwood, TN 37027-8035
Phone
(296) 255-2092
Fax
(629) 255-4124
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 48658 TN Primary

Addresses

Primary practice location

1620 Westgate Cir
Brentwood, TN 37027-8035

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
1528556MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120614000542 TN Practitioner - Obstetrics/Gynecology 8820034929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

1622 Westgate Cir
Brentwood, TN 37027-8019
Phone (629) 255-2135

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC Obstetrics & Gynecology CurrentSince Jun 21, 2012 Accepting new patients
Heritage Medical Associates PC CurrentSince Jun 21, 2012 Accepting new patients
Whap,PA Past Accepting new patients

Locations

1620 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2135

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Interoperability endpoints

  • Direct secure messaging: craig.martin.1@18080.direct.athenahealth.com
  • Direct secure messaging: craigmartin@hma.allscriptsdirect.net

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1437170974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 WESTGATE CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278035",
            "telephone_number": "296-255-2092",
            "fax_number": "629-255-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "48658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528556",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.