Individual provider Active NPI

Anthony Keith Martin, MD

  • Surgery Physician
  • Macon, GA
National Provider Identifier
1477570927
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36815 Issued in GA
Practice address
330 Hospital Dr BLDG C Ste 315
Macon, GA 31217
Phone
(478) 750-8606
Fax
(478) 750-0470
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36815 GA Primary

Addresses

Primary practice location

330 Hospital Dr BLDG C Ste 315
Macon, GA 31217

Mailing address

330 Hospital Dr BLDG C Ste 315
Macon, GA 31217-3899
Phone (478) 750-8606

Other practice location 1

330 Hospital Dr
Bld C Ste 315
Macon, GA 31217-3899
Phone (478) 750-8606

Other practice location 2

330 Hospital Dr
Bld C Ste 315
Macon, GA 31217-3899
Phone (478) 750-8606

Other identifiers 1

IdentifierTypeStateIssuer
00544629BMedicaidGA

Other names 1

  • A Keith Martin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101129000182 GA Practitioner - General Surgery 0042299190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

340 Hospital Dr
Macon, GA 31217-3838
Phone (478) 219-7735

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

380 Hospital Dr
Suite 370
Macon, GA 31217-8010
Phone (478) 219-7735

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)21
Hernia repair (minimally invasive)1-10
Mastectomy36
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36815GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

380 Hospital Dr
Ste 320
Macon, GA 31217
Phone (478) 742-5331

330 Hospital Dr
Ste 315
Macon, GA 31217
Phone (478) 742-5331

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

Interoperability endpoints

  • Direct secure messaging: anthony.martin@hca5.eclinicaldirectplus.com

Organizations & group practices 1

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 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1477570927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR BLDG C STE 315",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR BLDG C STE 315",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Hospital Dr",
            "address_2": "Bld C Ste 315",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173899",
            "country_code": "US",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Hospital Dr",
            "address_2": "Bld C Ste 315",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173899",
            "country_code": "US",
            "telephone_number": "478-750-8606",
            "fax_number": "478-750-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANTHONY",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "36815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544629B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "MARTIN",
            "middle_name": "KEITH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.