Charity A. Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103340 Issued in NC

Practice address

7811 N Point Blvd
Winston Salem, NC 27106-3209

Phone

(336) 759-0700

Fax

(336) 759-2226

NPI assigned

Dec 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11229/brand/1/csg/1/fhir/r4
• Direct secure messaging: cmartin2755317@carolinashealthcaresystem.direct-ci.com

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.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment NPD
• Cedar Creek Family Medicine PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1952579807
  NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1497731434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 N POINT BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063209",
            "telephone_number": "336-759-0700",
            "fax_number": "336-759-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 N POINT BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063209",
            "telephone_number": "336-759-0700",
            "fax_number": "336-759-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARITY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101909",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B4065",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Shuping MD
• Katy Martin-Fernandez, PHD
• Anna P Martin
• Autumn Martin, LCMHC-A
• Cara Dawn Martin, FNP-C
• Chelsea Martin, DPT
• Christele Kidibu Martin, FNP-BC
• Christie Marie Martin
• Chylee Chylee Martin, MD
• Cynthia Martin

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.