Active NPI
Anthony Keith Martin, MD
- Surgery Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36815
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00544629B | Medicaid | GA |
Other names 1
- A Keith Martin
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
Enrollment records 1
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
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
- Coliseum Medical Centers, LLC, Dba
- Northside Hospital
- Atrium Health Navicent the Medical Center
- Piedmont Macon North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 21 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 36 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36815 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.