Logan Curran Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4357 Issued in TN

Practice address

1211 Dinah Shore Blvd
Winchester, TN 37398-1107

Phone

(931) 967-6669

Fax

(931) 967-6606

NPI assigned

Oct 5, 2020

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIFAAA

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.

• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD (past)
• America's Family Doctors, PLLC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1629035654
  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1508463365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SUMMER ST APT C92",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552396",
            "telephone_number": "615-587-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981107",
            "telephone_number": "931-967-6669",
            "fax_number": "931-967-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LOGAN",
        "middle_name": "CURRAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q063418",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Doster Lotti, FNP,MS
• Ma Belinda Lu, MD
• Nevindra N Mangru, M.D.
• Edith Anneliese Martin, NCLMT
• Kaitlyn Martin, DO
• Tammy R Martin, APN
• Tracey Mason
• Hailey Rose Matlock, OTD, OTR/L
• Karen R Maze
• Mary McClain, FNP-C

• Physician Assistant in Winchester, TN
• Providers in Winchester, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.