Individual provider Active NPI

Christopher George Martin, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Kingsport, TN
National Provider Identifier
1497716070
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD26449 Issued in TN
Practice address
146 W Park Dr
Suite 9B
Kingsport, TN 37660-3824
Phone
(423) 246-3220
Fax
(423) 246-3221
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD26449 TN Primary

Addresses

Primary practice location

146 W Park Dr
Suite 9B
Kingsport, TN 37660-3824

Mailing address

146 W Park Dr
Suite 9B
Kingsport, TN 37660-3824
Phone (423) 246-3220

Other identifiers 1

IdentifierTypeStateIssuer
3089781MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110208000171 TN Practitioner - Pediatric Medicine 2365622404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26449TNMDNeonatal-Perinatal Medicine Physician
26449TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neonatology Associates PC Neonatal-Perinatal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1497716070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W PARK DR",
            "address_2": "SUITE 9B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603824",
            "telephone_number": "423-246-3220",
            "fax_number": "423-246-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W PARK DR",
            "address_2": "SUITE 9B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603824",
            "telephone_number": "423-246-3220",
            "fax_number": "423-246-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "MD26449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089781",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.