NPIMap

Organization Active NPI

John W Martin Jr MD PA

  • Professional Counselor
  • Anderson, SC
National Provider Identifier
1528274669
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4618 Issued in SC
Legal business name
JOHN W MARTIN JR MD PA
Practice address
1208 Ella St
Anderson, SC 29621-4839
Phone
(864) 225-5436
Fax
(864) 226-3968
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. John Watson Martin Jr., M.D.
Title
Owner President
Phone
(864) 225-5436

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 719 SC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4618 SC Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 5222 SC

Addresses

Primary practice location

1208 Ella St
Anderson, SC 29621-4839

Mailing address

1208 Ella St
Anderson, SC 29621-4839
Phone (864) 225-5436

National Provider Directory

National Provider Directory

Locations

1208 Ella St
Anderson, SC 29621
Phone (864) 225-5436

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528274669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 ELLA ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214839",
            "telephone_number": "864-225-5436",
            "fax_number": "864-226-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 ELLA ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214839",
            "telephone_number": "864-225-5436",
            "fax_number": "864-226-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W MARTIN JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "864-225-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "719",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4618",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "SC",
            "license": "5222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.