NPIMap

Individual provider Active NPI

Joe Alan Martin, MD

  • Family Medicine Physician
  • Belton, SC
National Provider Identifier
1487679643
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2223 Issued in SC
Practice address
726 Anderson St
Belton, SC 29627-2131
Phone
(864) 226-9193
Fax
(864) 716-6732
NPI assigned
Jul 12, 2006
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2223 SC Primary

Addresses

Primary practice location

726 Anderson St
Belton, SC 29627-2131

Mailing address

2000 E Greenville St
Suite 1600
Anderson, SC 29621-1580
Phone (864) 226-9193

Other identifiers 4

IdentifierTypeStateIssuer
4871OtherSCMEDICARE GROUP ID
GP1233MedicaidSC
080189459OtherSCMEDICARE RR RETIREMENT
TL2223MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000105 SC Practitioner - Family Practice 2961467113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates, PCGroup PAC ID 7911991716, 10 clinicians

Practice addresses (Care Compare)

2000 E Greenville St
Suite 1600
Anderson, SC 29621-1719
Phone (864) 716-6008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
99.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2223SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, PC Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Carolina Long Term Care Assoicates,PC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 E Greenville St
Ste 1600
Anderson, SC 29621
Phone (803) 226-9193

726 Anderson St
Belton, SC 29627
Phone (864) 226-9193

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.

Hospital & facility affiliations 7

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1487679643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 1600",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-226-9193",
            "fax_number": "864-231-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 ANDERSON ST",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296272131",
            "telephone_number": "864-226-9193",
            "fax_number": "864-716-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOE",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "4871",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1233",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR RETIREMENT",
            "identifier": "080189459",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL2223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, SC

Sources for this page

Verify at the official NPI Registry.