Active NPI
Maria Martin, M.D
- Family Medicine Physician
- Hixson, TN
National Provider Identifier
1467424770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24652
- Practice address
- 2051B Hamill Rd
Suite 108
Hixson, TN 37343-4085 - Phone
- (423) 499-8877
- Fax
- (423) 499-8085
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 27, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24652 | TN | Primary |
Addresses
Primary practice location
2051B Hamill Rd
Suite 108
Hixson, TN 37343-4085
Mailing address
PO Box 22696
Chattanooga, TN 37422-2696
Phone (423) 499-8877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000691743B | Medicaid | GA | |
| P00338526 | Other | TN | RAILROAD MEDICARE |
| 3077317 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthforce Corporation | Family Medicine | Past | Accepting new patients |
| Parkridge Medical Associates LLC | Family Medicine | Past | Accepting new patients |
| Healthforce Medical Group LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hixson, TN
- NPI 1205882529
-
- Adult Medicine Physician
- Hixson, TN
- NPI 1942718754
-
- Family Medicine Physician
- Hixson, TN
- NPI 1447288477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1467424770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22696",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374222696",
"telephone_number": "423-499-8877",
"fax_number": "423-499-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051B HAMILL RD",
"address_2": "SUITE 108",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434085",
"telephone_number": "423-499-8877",
"fax_number": "423-499-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "24652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000691743B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00338526",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077317",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.