Jeanne R. Martin, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

423 Issued in SC

Practice address

526 Richland Ave W
Aiken, SC 29801-3828

Phone

(803) 648-3130

Fax

(803) 648-9860

NPI assigned

Jun 9, 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 1

Medicare fee-for-service enrollment

Enrolled in SC

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

State licenses

Practice roles

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.

• R. Bauer Vaughters, III, MD, Inc.

  • Specialist
  • Aiken, SC
  • NPI 1427175108
  Medicare reassignment
• R. Bauer Vaughters, III, MD, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1295652592
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1508860420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298021132",
            "telephone_number": "803-648-3130",
            "fax_number": "803-648-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 RICHLAND AVE W",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013828",
            "telephone_number": "803-648-3130",
            "fax_number": "803-648-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEANNE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0345",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J. Meiler, MD
• Martial Art Academy
• Jahna Marithe Martin Salvo, RN, BSN
• Barry William Martin, PHARM.D., R.PH.
• Dana Martin
• Victoriya D Martin, PHARMD
• Holly Martinez de Andino, RN
• Juanita Maria Martinez, MSW
• Tiffany Martinez, COTA
• Mary Mattis P T Inc

• Medical Physician Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.