Organization Active NPI

Martin Family Medical LLC

  • Primary Care Clinic/Center
  • Oneida, TN
National Provider Identifier
1497592661
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARTIN FAMILY MEDICAL LLC
Practice address
19806 Alberta St
Oneida, TN 37841-3307
Phone
(423) 223-4889
Fax
(423) 214-1004
NPI assigned
Jul 13, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Catherine Stroud Martin, DONPI 1356349906
Title
Owner
Phone
(423) 215-3753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

19806 Alberta St
Oneida, TN 37841-3307

Mailing address

PO Box 5755
Oneida, TN 37841-1355
Phone (423) 215-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912001608 TN Part B Supplier - Clinic/Group Practice 9638619042 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2309928Martin Family Medical LLC19806 Alberta Street, Oneida, TN 37841Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

19806 Alberta St
Oneida, TN 37841
Phone (423) 223-4889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1497592661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5755",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378411355",
            "telephone_number": "423-215-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19806 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413307",
            "telephone_number": "423-223-4889",
            "fax_number": "423-214-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "STROUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-215-3753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.